Dr Bradley Russell Drennen, DO | |
1322 Eisenhower Blvd, Johnstown, PA 15904-3307 | |
(814) 266-8840 | |
(814) 266-2176 |
Full Name | Dr Bradley Russell Drennen |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1322 Eisenhower Blvd, Johnstown, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215993340 | NPI | - | NPPES |
0014861460001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 05008398L (Pennsylvania) | Primary |
Entity Name | Pediatric Care Specialists |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346236833 PECOS PAC ID: 9537333604 Enrollment ID: O20111130000082 |
Mailing Address | Practice Location Address |
---|---|
Dr Bradley Russell Drennen, DO 1322 Eisenhower Blvd, Johnstown, PA 15904-3307 Ph: (814) 266-8840 | Dr Bradley Russell Drennen, DO 1322 Eisenhower Blvd, Johnstown, PA 15904-3307 Ph: (814) 266-8840 |
Dr. Venkata R Dharbhamulla, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1322 Eisenhower Blvd, Johnstown, PA 15904 Phone: 814-536-8969 Fax: 814-536-7180 | |
Ms. Linsey Joy Donoughe, PA-C Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-534-9794 Fax: 814-534-3479 | |
Johnnie Wilson Barto, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 323 Budfield St, Johnstown, PA 15904 Phone: 814-262-9500 Fax: 814-262-7303 | |
Karl Berger, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1141 Franklin St, Franklin Street Pediatrics, Johnstown, PA 15905 Phone: 814-536-8956 Fax: 814-539-6601 | |
Stephanie Ann Porter, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 323 Budfield St, Johnstown, PA 15904 Phone: 814-262-9500 Fax: 814-262-9142 | |
Michelle R Sredy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1322 Eisenhower Blvd, Johnstown, PA 15904 Phone: 814-266-8840 Fax: 814-266-2176 |