Dr Bradley R Brobeck, MD | |
1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | |
(850) 315-7807 | |
(850) 863-7579 |
Full Name | Dr Bradley R Brobeck |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 25 Years |
Location | 1000 Mar Walt Dr, Fort Walton Beach, Florida |
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 |
---|---|---|---|
1891772356 | NPI | - | NPPES |
J27261 | Other | MA | BCBS MA |
2060671 | Medicaid | MA | |
469114 | Other | MA | TUFTS HEALTH PLAN |
106713 | Medicaid | AL | |
106712 | Medicaid | AL | |
108488 | Medicaid | AL | |
275424000 | Medicaid | FL | |
009939598 | Medicaid | AL | |
108076 | Medicaid | AL |
Facility Name | Location | Facility Type |
---|---|---|
Fort Walton Beach Medical Center | Fort walton beach, FL | Hospital |
Gulf Coast Regional Medical Center | Panama city, FL | Hospital |
North Okaloosa Medical Center | Crestview, FL | Hospital |
Sacred Heart Hospital On The Emerald Coast | Miramar beach, FL | Hospital |
Sacred Heart Hospital | Pensacola, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Radiology Physician Solutions Of North Florida Llc | 2466710306 | 75 |
Sheridan Radiology Services Of Central Florida Inc | 4688762149 | 105 |
Entity Name | Sheridan Radiology Services Of Central Florida Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134567506 PECOS PAC ID: 4688762149 Enrollment ID: O20071116000118 |
Entity Name | Sheridan Radiology Services Of West Florida Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235674904 PECOS PAC ID: 4082998075 Enrollment ID: O20170413000678 |
Entity Name | Radiology Physician Solutions Of North Florida Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447761101 PECOS PAC ID: 2466710306 Enrollment ID: O20180216001493 |
Mailing Address | Practice Location Address |
---|---|
Dr Bradley R Brobeck, MD 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 Ph: (850) 315-7807 | Dr Bradley R Brobeck, MD 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 Ph: (850) 315-7807 |
Bethany A Cazenave, MD Radiology Medicare: Medicare Enrolled Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 614-210-1885 Fax: 614-210-1886 | |
Warren R. Amos, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1026 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-5294 Fax: 850-864-1648 | |
Dr. Vincent Thomas Jones, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1005 Mar Walt Drive, Radiology Department, Fort Walton Beach, FL 32547 Phone: 850-863-8110 Fax: 850-863-8245 | |
Maan Elkhatib, MD Radiology Medicare: Medicare Enrolled Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-862-1111 | |
Tara Marie Otto, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 220 Fliva Ave Nw, Fort Walton Beach, FL 32548 Phone: 952-595-1100 Fax: 612-294-4903 | |
Dr. Walter William Perrott, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 866-775-5053 Fax: 614-764-9147 | |
Dr. Norman Bull Clinkscales, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1005 Mar Walt Drive, Radiology Department, Fort Walton Beach, FL 32547 Phone: 850-863-8110 Fax: 850-863-8245 |