Dr Brad Dale Johnson, MD | |
2710 Rife Medical Ln, Rogers, AR 72758-1452 | |
(479) 338-0200 | |
(479) 338-3388 |
Full Name | Dr Brad Dale Johnson |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 2710 Rife Medical Ln, Rogers, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780734830 | NPI | - | NPPES |
135003001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | E-1424 (Arkansas) | Primary |
Entity Name | Southeastern Emergency Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050418001201 |
Entity Name | Sgoh Acquisition Inc |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1568643005 PECOS PAC ID: 5092616276 Enrollment ID: O20081016000559 |
Mailing Address | Practice Location Address |
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Dr Brad Dale Johnson, MD 2710 Rife Medical Ln, Rogers, AR 72758-1452 Ph: (479) 338-0200 | Dr Brad Dale Johnson, MD 2710 Rife Medical Ln, Rogers, AR 72758-1452 Ph: (479) 338-0200 |
Dr. Chester L. Carlson, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5212 Village Pkwy, Rogers, AR 72758 Phone: 479-657-6888 | |
Dr. Kristin D Kaemmerling, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1200 W Walnut St, Rogers, AR 72756 Phone: 479-636-0200 | |
Robin A. Cox, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 615 W Oak St, Rogers, AR 72756 Phone: 479-966-4999 Fax: 479-301-8829 | |
Dr. Karen Ludwig Haney, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1200 W Walnut St, Rogers, AR 72756 Phone: 479-636-0200 | |
Dr. Jeff Mathieu Audibert, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 W Walnut St, Rogers, AR 72756 Phone: 479-636-0200 | |
Dr. Kurt Power Eifling, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2710 S Rife Medical Ln, Rogers, AR 72758 Phone: 479-338-4540 | |
Dr. Bradly Shane Holland, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5208 W Village Pkwy Ste 1, Rogers, AR 72758 Phone: 479-389-2803 |