Bradley L Johnson, MD | |
5875 E Riverside Blvd, Rockford, IL 61114-4937 | |
(815) 398-9491 | |
(815) 381-7498 |
Full Name | Bradley L Johnson |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 5875 E Riverside Blvd, Rockford, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962463935 | NPI | - | NPPES |
036075034 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 036075034 (Illinois) | Primary |
Entity Name | Rockford Health Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584 |
Entity Name | Anesthesia Associates, Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952308223 PECOS PAC ID: 2961303425 Enrollment ID: O20040224000185 |
Mailing Address | Practice Location Address |
---|---|
Bradley L Johnson, MD Box 78534, Milwaukee, WI 53278-8534 Ph: (815) 398-9491 | Bradley L Johnson, MD 5875 E Riverside Blvd, Rockford, IL 61114-4937 Ph: (815) 398-9491 |
Dr. Uzma Rezvi, M. D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8201 E Riverside Blvd, Rockford, IL 61114 Phone: 815-971-4000 Fax: 815-971-9985 | |
Mark J. Kellen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5875 E Riverside Blvd, Rockford, IL 61114 Phone: 815-398-9491 Fax: 815-381-7498 | |
Alan G Mowbray, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2400 N Rockton Ave, Rockford, IL 61103 Phone: 815-971-4000 | |
John N. Edwards, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6785 Weaver Rd, Suite D, Rockford, IL 61114 Phone: 815-633-8545 | |
Dr. Vishrut P. Naik, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5875 E Riverside Blvd, Rockford, IL 61114 Phone: 815-398-9491 | |
Adam Soliman, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5875 E Riverside Blvd, Rockford, IL 61114 Phone: 815-398-9491 Fax: 815-381-7498 | |
Dr. William Stephen Minore, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1235 N Mulford Rd Ste 222, Rockford, IL 61107 Phone: 815-397-8400 Fax: 815-229-0050 |