| Brandon Eugene Bireley, DO | |
|
3307 Renner Dr, Fortuna, CA 95540-3119 | |
| (707) 725-7390 | |
| Not Available |
| Full Name | Brandon Eugene Bireley |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 13 Years |
| Location | 3307 Renner Dr, Fortuna, California |
| 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 |
|---|---|---|---|
| 1407296064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 5101020721 (Michigan) | Secondary |
| 208600000X | Surgery | 20A16540 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence St Joseph Hospital | Eureka, CA | Hospital |
| Providence Redwood Memorial Hospital | Fortuna, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Medical Foundation | 8921993205 | 1461 |
| Entity Name | Providence Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871607762 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Eugene Bireley, DO 3307 Renner Dr, Fortuna, CA 95540-3119 Ph: Not Available | Brandon Eugene Bireley, DO 3307 Renner Dr, Fortuna, CA 95540-3119 Ph: (707) 725-7390 |
Dr. Cassandra Ann Kennedy, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3300 Renner Dr, Fortuna, CA 95540 Phone: 707-725-9832 Fax: 707-725-7247 |
Dr. Michael Grant Kent, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3307 Renner Dr, Fortuna, CA 95540 Phone: 707-725-9832 Fax: 707-725-7247 |