Andrea Brudvik, DO | |
3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | |
(248) 551-6509 | |
Not Available |
Full Name | Andrea Brudvik |
---|---|
Gender | Female |
Speciality | Diagnostic Radiology |
Experience | 18 Years |
Location | 3601 W 13 Mile Rd, Royal Oak, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942497730 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085B0100X | Radiology - Body Imaging | 5101016874 (Michigan) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 5101016874 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
Beaumont Hospital - Grosse Pointe | Grosse pointe, MI | Hospital |
Beaumont Hospital, Troy | Troy, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Beaumont Medical Group Hospital Based Services | 3072875889 | 464 |
Entity Name | Henry Ford Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139 |
Entity Name | Beaumont Medical Group Hospital Based Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796 |
Mailing Address | Practice Location Address |
---|---|
Andrea Brudvik, DO 26901 Beaumont Blvd # 3d, Southfield, MI 48033-3849 Ph: (248) 577-9221 | Andrea Brudvik, DO 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 Ph: (248) 551-6509 |
Terrence Metz, Radiology Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000 | |
Christopher W Keyes, MD Radiology Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-7266 | |
Stephen Hudak, Radiology Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-551-6262 | |
Elias Antypas, Radiology Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-6509 | |
Dr. Derek Alexander Mumaw, MD Radiology Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-551-6347 | |
Kent Donovan, Radiology Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-6509 | |
Dr. John Douglas Ebersole, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-6064 |