Dr Brandon Davis Ingram, MD | |
10001 Lile Dr, Little Rock, AR 72205-6217 | |
(501) 664-2434 | |
(501) 552-5311 |
Full Name | Dr Brandon Davis Ingram |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 12 Years |
Location | 10001 Lile Dr, Little Rock, Arkansas |
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 |
---|---|---|---|
1851655229 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | E-13626 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Chi-st Vincent Infirmary | Little rock, AR | Hospital |
St Vincent Medical Center/north | Sherwood, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Vincent Medical Group | 5698758803 | 204 |
Entity Name | St Vincent Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134176480 PECOS PAC ID: 5698758803 Enrollment ID: O20040622000224 |
Mailing Address | Practice Location Address |
---|---|
Dr Brandon Davis Ingram, MD 10001 Lile Dr, Little Rock, AR 72205-6217 Ph: (501) 664-2434 | Dr Brandon Davis Ingram, MD 10001 Lile Dr, Little Rock, AR 72205-6217 Ph: (501) 664-2434 |
Charles Wesley Wagner, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 12609 Saint Charles Blvd, Little Rock, AR 72211 Phone: 501-680-0738 | |
Sandra Minerva Garcia Osogobio, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 4301 W Markham St # 520, Little Rock, AR 72205 Phone: 501-686-8000 Fax: 501-526-5148 | |
Mrs. Elaine Marie Thrash, PA Surgery Medicare: Accepting Medicare Assignments Practice Location: 8901 Carti Way, Little Rock, AR 72205 Phone: 501-906-3000 | |
Oleksiy Gudz, M.D.,PHD Surgery Medicare: Medicare Enrolled Practice Location: 4301 W Markham St # 520-2, Little Rock, AR 72205 Phone: 501-686-6086 Fax: 501-686-5328 | |
Mrs. Chelsea Nicole Scherz, APRN Surgery Medicare: Not Enrolled in Medicare Practice Location: 4301 W Markham St # 556, Little Rock, AR 72205 Phone: 501-686-8000 Fax: 501-526-5148 | |
Dr. Jonathan Amarkwei Laryea, MB CHB Surgery Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St, Slot 520, Little Rock, AR 72205 Phone: 501-686-6648 Fax: 501-686-7280 | |
Dr. Jordan W Greer, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 4110 Outpatient Circle, Outpatient Center, Third Floor, Little Rock, AR 72205 Phone: 501-686-6086 Fax: 501-686-5855 |