Bruce Mallory Burns, MD | |
800 N Fant St, Anderson, SC 29621-5708 | |
(864) 226-0511 | |
(864) 231-7018 |
Full Name | Bruce Mallory Burns |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 800 N Fant St, Anderson, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932259538 | NPI | - | NPPES |
57-0853635 | Other | SC | CHAMPUS |
00259223C | Other | GA | MEDICAID |
300020824 | Other | SC | RAIL ROAD MEDICARE |
TL4055 | Medicaid | SC | |
57-0853635 | Other | SC | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 13947 (South Carolina) | Primary |
Entity Name | Diagnostic Radiology Of Anderson, P.a. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922125269 PECOS PAC ID: 3173559945 Enrollment ID: O20050713000145 |
Mailing Address | Practice Location Address |
---|---|
Bruce Mallory Burns, MD 211 S Main St, Anderson, SC 29624-1620 Ph: (864) 226-0511 | Bruce Mallory Burns, MD 800 N Fant St, Anderson, SC 29621-5708 Ph: (864) 226-0511 |
Monica H Grier, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 800 N Fant St, Anderson, SC 29621 Phone: 864-226-0511 Fax: 864-231-7018 | |
William V Tomlinson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2000 E Greenville St, Anderson, SC 29621 Phone: 864-512-4600 Fax: 864-512-4621 | |
Joseph W Yon Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 800 N Fant St, Anderson, SC 29621 Phone: 864-226-0511 Fax: 864-231-7018 | |
Veena Mathur, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 800 N Fant St, Anderson, SC 29621 Phone: 864-226-0511 Fax: 864-231-7018 | |
Kyle C Bryans, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 800 N Fant St, Anderson, SC 29621 Phone: 864-226-0511 Fax: 864-231-7018 | |
Carrie D Cousar, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 800 N Fant St, Anderson, SC 29621 Phone: 864-226-0511 Fax: 864-231-7018 | |
David H Holt Jr., M.D. Radiology Medicare: Medicare Enrolled Practice Location: 800 N Fant St, Anderson, SC 29621 Phone: 864-226-0511 Fax: 864-231-7018 |