Athanasios Bramos, MD | |
4401 Harrison Blvd, Ogden, UT 84403-3195 | |
(801) 387-2800 | |
Not Available |
Full Name | Athanasios Bramos |
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Gender | Male |
Speciality | Surgery |
Location | 4401 Harrison Blvd, Ogden, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144541426 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | L-244702 (Massachusetts) | Secondary |
208600000X | Surgery | 35.131751 (Ohio) | Secondary |
208600000X | Surgery | 10714776-1205 (Utah) | Primary |
Entity Name | Ihc Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
Entity Name | University Of Utah Acuity Care Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407250541 PECOS PAC ID: 4789908534 Enrollment ID: O20150127000392 |
Entity Name | University Of Utah Adult Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 |
Mailing Address | Practice Location Address |
---|---|
Athanasios Bramos, MD 4403 Harrison Blvd Ste 2600, Ogden, UT 84403-3277 Ph: (801) 387-7450 | Athanasios Bramos, MD 4401 Harrison Blvd, Ogden, UT 84403-3195 Ph: (801) 387-2800 |
Mr. Lee Jeppson Malan, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3955 Harrison Blvd, Suite U1, Ogden, UT 84403 Phone: 801-621-3591 Fax: 801-393-0836 | |
Dr. Joseph E Hansler, Surgery Medicare: Accepting Medicare Assignments Practice Location: 4403 Harrison Blvd, Suite 1635, Ogden, UT 84403 Phone: 801-387-7450 | |
Dr. Brian Craig Adams, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3903 Harrison Blvd, Suite 100, Ogden, UT 84403 Phone: 801-387-8900 Fax: 801-387-8920 | |
Faheem Akhtar, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3903 Harrison Blvd., Suite 100, Ogden, UT 84403 Phone: 801-387-8900 Fax: 801-387-8920 | |
Elizabeth Franzen Nelson, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 3903 Harrison Blvd Ste 100, Ogden, UT 84403 Phone: 801-387-8900 | |
Dr. Lyle H Archibald, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 4403 Harrison Blvd Ste 1635, Ogden, UT 84403 Phone: 801-387-7450 |