Christopher Brandenburg, MD | |
114 Executive Dr, Suite E, Lafayette, IN 47905-4883 | |
(260) 407-8000 | |
(260) 407-8004 |
Full Name | Christopher Brandenburg |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 114 Executive Dr, Lafayette, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780602961 | NPI | - | NPPES |
00000090520 | Other | IN | ANTHEM |
000000365245 | Other | IN | ANTHEM |
200126420 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 01045285A (Indiana) | Primary |
Entity Name | Lafayette Emergency Care Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861447211 PECOS PAC ID: 9830189240 Enrollment ID: O20040517001198 |
Entity Name | Monticello Emergency Care, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003849399 PECOS PAC ID: 4183664956 Enrollment ID: O20050511000403 |
Mailing Address | Practice Location Address |
---|---|
Christopher Brandenburg, MD 114 Executive Dr, Suite E, Lafayette, IN 47905-4883 Ph: (260) 407-8000 | Christopher Brandenburg, MD 114 Executive Dr, Suite E, Lafayette, IN 47905-4883 Ph: (260) 407-8000 |
Andrew Anthony Alaimo, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 S Creasy Ln, Lafayette, IN 47905 Phone: 765-502-4000 Fax: 765-502-4683 | |
Lance Randell Seagren, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 | |
Samir H Shah, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 S Creasy Ln, Lafayette, IN 47905 Phone: 765-502-4000 Fax: 765-502-4709 | |
Dr. Harsha V Musunuru, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 317-838-4751 | |
Dr. Nirav L Chheda, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 | |
Steven F Lane, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 | |
Dr. Daniel Joseph Marino, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 S Creasy Ln, Lafayette, IN 47905 Phone: 800-654-9410 |