Brooke Laura Ballard, MD | |
5555 Reservoir Dr, Ste 104, San Diego, CA 92120-5134 | |
(619) 286-9480 | |
(619) 286-4568 |
Full Name | Brooke Laura Ballard |
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Gender | Female |
Speciality | Orthopaedic Surgery |
Location | 5555 Reservoir Dr, San Diego, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841447950 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | A104161 (California) | Primary |
207XS0106X | Orthopaedic Surgery - Hand Surgery | TRN#17204 (Florida) | Secondary |
Entity Name | Alvarado Orthopedic Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811066905 PECOS PAC ID: 9032022314 Enrollment ID: O20031112000166 |
Entity Name | Emergency And Acute Care Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437103942 PECOS PAC ID: 9537108279 Enrollment ID: O20050502000734 |
Mailing Address | Practice Location Address |
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Brooke Laura Ballard, MD 5555 Reservoir Dr, Suite 104, San Diego, CA 92120-5134 Ph: (619) 286-9480 | Brooke Laura Ballard, MD 5555 Reservoir Dr, Ste 104, San Diego, CA 92120-5134 Ph: (619) 286-9480 |
Michelle Marie Gosselin, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 34800 Bob Wilson Drive, Dept Of Orthopedics, San Diego, CA 92134 Phone: 203-640-5521 | |
Eric William Edmonds, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3030 Childrens Way, Suite 410, San Diego, CA 92123 Phone: 858-966-6789 | |
Steven Tradonsky, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 7485 Mission Valley Rd, Ste 104, San Diego, CA 92108 Phone: 619-291-8930 Fax: 619-398-4989 | |
Dr. Richard D Perlman, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 8008 Frost St, Suite 403, San Diego, CA 92123 Phone: 858-715-9200 Fax: 858-715-9202 | |
Peter Owen Newton, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3030 Childrens Way, Suite 410, San Diego, CA 92123 Phone: 858-966-6789 | |
Samy Gabriel, Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 200 W Arbor Dr # Mc8894, San Diego, CA 92103 Phone: 619-543-2540 | |
Oke Adrian Anakwenze, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3750 Convoy St Ste 201, San Diego, CA 92111 Phone: 858-300-2260 Fax: 858-300-2260 |