Cody Nebeker, MD | |
970 Medical Dr Ste 202, Brigham City, UT 84302-3286 | |
(435) 695-2273 | |
Not Available |
Full Name | Cody Nebeker |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 10 Years |
Location | 970 Medical Dr Ste 202, Brigham City, Utah |
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 |
---|---|---|---|
1356755110 | NPI | - | NPPES |
5315066446 | Other | MI | CONTROLLED SUBSTANCE |
4301105892 | Other | MI | MEIDCAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 4301105892 (Michigan) | Secondary |
208600000X | Surgery | 6034453-1205 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Brigham City Community Hospital | Brigham city, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mountainstar Brigham Obgyn Llc | 3678634599 | 5 |
Entity Name | Mountainstar Brigham Obgyn Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134379696 PECOS PAC ID: 3678634599 Enrollment ID: O20081210000147 |
Mailing Address | Practice Location Address |
---|---|
Cody Nebeker, MD 2950 N Church St Ste 301, Layton, UT 84040-6590 Ph: (801) 771-7771 | Cody Nebeker, MD 970 Medical Dr Ste 202, Brigham City, UT 84302-3286 Ph: (435) 695-2273 |
Dr. Derrick A Walker, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 970 Medical Dr Ste 202, Brigham City, UT 84302 Phone: 435-723-0329 Fax: 435-723-0429 | |
Lance R Bryce, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 984 Medical Dr, Suite 2, Brigham City, UT 84302 Phone: 435-723-0329 Fax: 435-723-0429 | |
Jan Michael Ashdown, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 950 S 500 W, #104, Brigham City, UT 84302 Phone: 435-723-1114 Fax: 435-723-1173 |