Charles J Brdlik, MD | |
1800 Ryan St, Suite 105, Lake Charles, LA 70601-6078 | |
(337) 439-4706 | |
(337) 439-8110 |
Full Name | Charles J Brdlik |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 42 Years |
Location | 1800 Ryan St, Lake Charles, Louisiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215910112 | NPI | - | NPPES |
300083018 | Other | RAILROAD MEDICARE | |
1373231 | Medicaid | LA | |
18606 | Other | LA | CDS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 07505R (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Christus St Frances Cabrini Hospital | Alexandria, LA | Hospital |
Rapides Regional Medical Center | Alexandria, LA | Hospital |
Central Louisiana Surgical Hospital | Alexandria, LA | Hospital |
Natchitoches Regional Medical Center | Natchitoches, LA | Hospital |
Lasalle General Hospital | Jena, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Radiology Associates Of Southwest Louisiana | 0941243562 | 96 |
Entity Name | South Ryan Mri Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376649061 PECOS PAC ID: 2860396397 Enrollment ID: O20031125000626 |
Entity Name | Radiology Associates Of Southwest Louisiana |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033215710 PECOS PAC ID: 0941243562 Enrollment ID: O20050606000347 |
Entity Name | Second Avenue Mri Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629174339 PECOS PAC ID: 0749203610 Enrollment ID: O20060105000738 |
Mailing Address | Practice Location Address |
---|---|
Charles J Brdlik, MD 1800 Ryan St, Suite 105, Lake Charles, LA 70601-6078 Ph: (337) 439-4706 | Charles J Brdlik, MD 1800 Ryan St, Suite 105, Lake Charles, LA 70601-6078 Ph: (337) 439-4706 |
John R Romero Iii, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1800 Ryan St, Suite 105, Lake Charles, LA 70601 Phone: 337-439-4706 Fax: 337-439-8110 | |
Richard L Martinez, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Ryan St, Suite 105, Lake Charles, LA 70601 Phone: 337-439-4706 Fax: 337-439-8110 | |
James G Maze, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1701 Oak Park Blvd, Lake Charles, LA 70601 Phone: 337-494-2121 Fax: 337-494-2360 | |
Donald A Woolridge, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Ryan St, Suite 105, Lake Charles, LA 70601 Phone: 337-439-4706 Fax: 337-439-8110 | |
Adam D Olsan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Ryan St, Suite 105, Lake Charles, LA 70601 Phone: 337-439-4706 Fax: 337-439-8110 | |
Dr. David R Wallace Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Ryan St Ste 105, Lake Charles, LA 70601 Phone: 337-439-4706 Fax: 337-439-8110 |