Bradley Bohman, MD | |
3555 S National Ave Ste 102, Springfield, MO 65807-7310 | |
(000) 000-0000 | |
Not Available |
Full Name | Bradley Bohman |
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Gender | Male |
Speciality | Internal Medicine - Rheumatology |
Location | 3555 S National Ave Ste 102, Springfield, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881183143 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RR0500X | Internal Medicine - Rheumatology | 75117-20 (Wisconsin) | Secondary |
207RR0500X | Internal Medicine - Rheumatology | 2023009742 (Missouri) | Primary |
Entity Name | Lester E Cox Medical Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750036703 PECOS PAC ID: 1254248917 Enrollment ID: O20220509000988 |
Mailing Address | Practice Location Address |
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Bradley Bohman, MD Po Box 802843, Kansas City, MO 64180-2843 Ph: () - | Bradley Bohman, MD 3555 S National Ave Ste 102, Springfield, MO 65807-7310 Ph: (000) 000-0000 |
Dr. Mark H. Grimm, MD Rheumatology Medicare: Medicare Enrolled Practice Location: 3231 S National Ave, Springfield, MO 65807 Phone: 417-888-5696 Fax: 417-888-6711 | |
Dr. Sridevi Durga, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 3800 S National Ave, Suite 400, Springfield, MO 65807 Phone: 417-875-2633 Fax: 417-875-3295 | |
Bradley D Wiley, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1001 E Primrose St, Springfield, MO 65807 Phone: 417-875-3000 Fax: 417-875-3051 | |
Walter S. Trombold, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 6044 S Overlook Trl, Springfield, MO 65810 Phone: 417-771-5778 | |
Ghulam Jeelani Siddiqui, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 2115 S Fremont Ave, Suite 3300, Springfield, MO 65804 Phone: 417-820-5200 Fax: 417-820-5220 | |
Danny R Penick, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-0000 | |
Dr. Anne Marsh Egbert, M.D. Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 4630 W Farm Road 82, Springfield, MO 65803 Phone: 417-522-5551 Fax: 417-722-0001 |