Bernard B Brach, MD | |
2647 S. St Elizabeth Blvd, Gonzales, LA 70737-5021 | |
(225) 647-8511 | |
(225) 644-5213 |
Full Name | Bernard B Brach |
---|---|
Gender | Male |
Speciality | Internal Medicine - Pulmonary Disease |
Location | 2647 S. St Elizabeth Blvd, Gonzales, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437115037 | NPI | - | NPPES |
1170909 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | 011097 (Louisiana) | Primary |
Entity Name | Our Lady Of Lake Ascension, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306899067 PECOS PAC ID: 3577452259 Enrollment ID: O20040311000822 |
Mailing Address | Practice Location Address |
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Bernard B Brach, MD 2647 S. St Elizabeth Blvd, Gonzales, LA 70737-5021 Ph: (225) 647-8511 | Bernard B Brach, MD 2647 S. St Elizabeth Blvd, Gonzales, LA 70737-5021 Ph: (225) 647-8511 |
Mydhili Kanumilli, M.D Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737 Phone: 225-647-8511 Fax: 225-644-5213 | |
Niksad Abraham, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2647 S Saint Elizabeth Blvd Ste 300, Gonzales, LA 70737 Phone: 225-767-3900 Fax: 225-766-2226 | |
Swapna Gayathri Kallu, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2647 S Saint Elizabeth Blvd Ste 219, Gonzales, LA 70737 Phone: 225-765-5500 Fax: 225-743-2620 | |
Mason Wade Rau, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 2647 S Saint Elizabeth Blvd Ste 219, Gonzales, LA 70737 Phone: 225-647-8511 Fax: 225-644-8358 | |
Dr. Gretchen Marie Yandle, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737 Phone: 225-647-8511 Fax: 225-644-5213 | |
Dr. Rahil Devendra Shah, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1014 Saint Clair Blvd Ste 3030, Gonzales, LA 70737 Phone: 225-765-5500 Fax: 225-743-2546 | |
Dr. Carlos R Vazquez, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2211 S Burnside Ave, Ste 4, Gonzales, LA 70737 Phone: 225-647-1947 |