Ivan Jay Brodwyn, DC | |
3624 Edgewood Rd, Columbus, GA 31907-2184 | |
(706) 563-3370 | |
(706) 563-3501 |
Full Name | Ivan Jay Brodwyn |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 43 Years |
Location | 3624 Edgewood Rd, Columbus, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538193503 | NPI | - | NPPES |
7365 | Other | GA | GRP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC1811 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jay Brodwyn Clinicare Of Columbus Inc | 5991720740 | 2 |
Provider Name | Jay Brodwyn Clinicare Of Columbus Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1851325104 PECOS PAC ID: 5991720740 Enrollment ID: O20051011000206 |
Mailing Address | Practice Location Address |
---|---|
Ivan Jay Brodwyn, DC 3624 Edgewood Rd, Columbus, GA 31907-2184 Ph: (706) 563-3370 | Ivan Jay Brodwyn, DC 3624 Edgewood Rd, Columbus, GA 31907-2184 Ph: (706) 563-3370 |
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