Dr Brad Nichol, MD | |
1830 Blake Ave, #202 Roaring Fork Surgical, Glenwood Springs, CO 81601 | |
(970) 945-6533 | |
(970) 945-3945 |
Full Name | Dr Brad Nichol |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 24 Years |
Location | 1830 Blake Ave, Glenwood Springs, Colorado |
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 |
---|---|---|---|
1912065756 | NPI | - | NPPES |
30886830 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | CO38600 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Valley View Hospital Association | Glenwood springs, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Valley View Hospital Association | 1850294778 | 171 |
Roaring Fork Surgical Associates Prof Llc | 9638147846 | 2 |
Entity Name | Roaring Fork Surgical Associates Prof Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447308465 PECOS PAC ID: 9638147846 Enrollment ID: O20040923001247 |
Entity Name | Valley View Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518353218 PECOS PAC ID: 1850294778 Enrollment ID: O20150731016418 |
Mailing Address | Practice Location Address |
---|---|
Dr Brad Nichol, MD 1830 Blake Ave, #202 Roaring Fork Surgical, Glenwood Springs, CO 81601 Ph: (970) 945-6533 | Dr Brad Nichol, MD 1830 Blake Ave, #202 Roaring Fork Surgical, Glenwood Springs, CO 81601 Ph: (970) 945-6533 |
Dr. Eric Jernigan, MD Surgery Medicare: Medicare Enrolled Practice Location: 1906 Blake Ave, Glenwood Springs, CO 81601 Phone: 970-627-6675 | |
Misty Cumings, RNFA Surgery Medicare: Not Enrolled in Medicare Practice Location: 1906 Blake Ave, Glenwood Springs, CO 81601 Phone: 970-384-7180 | |
Dr. Randall E Ross, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1830 Blake Ave, Roaring Fork Surgical Assoc, Glenwood Springs, CO 81601 Phone: 970-945-6533 Fax: 970-945-3945 | |
Mrs. Brady Katherine Heuer, RN, BSN, CNOR, RNFA Surgery Medicare: Not Enrolled in Medicare Practice Location: 1906 Blake Ave, Glenwood Springs, CO 81601 Phone: 970-384-7180 | |
Dr. Mohammad Asem Bakkar, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1906 Blake Ave, Glenwood Springs, CO 81601 Phone: 206-930-5885 |