Brendan Dominic Oconnor, MD is a
Radiology - Diagnostic Radiology physician based in Portland, Texas. Brendan Dominic Oconnor is licensed to practice in Tennessee (license number J3864) and his current practice location is 115 Northshore Blvd, Portland, Texas. He can be reached at his office (for appointments etc.) via phone at
(361) 777-1777.
NPI number for Brendan Dominic Oconnor is 1861457582 and his current mailing address is Po Box 1888, Greenville, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861457582.
Physician's Profile
| Full Name | Brendan Dominic Oconnor |
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| Gender | Male |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 115 Northshore Blvd, Portland, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1861457582
- Provider Enumeration Date: 04/18/2006
- Last Update Date: 05/14/2008
Medical Identifiers
Medical identifiers for Brendan Dominic Oconnor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861457582 | NPI | - | NPPES |
| 036852401 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | J3864 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brendan Dominic Oconnor is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Brendan Dominic Oconnor, MD
Po Box 1888,
Greenville, TX 75403
Ph: (800) 945-2455 | Brendan Dominic Oconnor, MD
115 Northshore Blvd,
Portland, TX 78374
Ph: (361) 777-1777 |
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