Dr Brendon Delport, DO | |
2828 N National Ave, Springfield, MO 65803-4306 | |
(417) 837-4003 | |
(417) 875-4782 |
Full Name | Dr Brendon Delport |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Location | 2828 N National Ave, Springfield, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194721100 | NPI | - | NPPES |
1194721100 | Medicaid | MO | |
P00261949 | Other | RR MEDICARE | |
209165604 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 2004008249 (Missouri) | Primary |
Entity Name | Advocates For A Healthy Community Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558303057 PECOS PAC ID: 5395653562 Enrollment ID: O20041109000631 |
Mailing Address | Practice Location Address |
---|---|
Dr Brendon Delport, DO 2828 N National Ave, Springfield, MO 65803-4306 Ph: (417) 837-4003 | Dr Brendon Delport, DO 2828 N National Ave, Springfield, MO 65803-4306 Ph: (417) 837-4003 |
Warren Patrick Collins, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1342 E Primrose St, Suite B, Springfield, MO 65804 Phone: 417-869-3200 Fax: 417-869-3212 | |
Thomas G Prater, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1265 E Primrose St, Springfield, MO 65804 Phone: 417-886-3937 Fax: 417-886-1285 | |
Dr. Daniel R Osborn, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1531 E Bradford Pkwy, Suite 100, Springfield, MO 65804 Phone: 417-887-3900 Fax: 417-887-3221 | |
C Byron Faulkner, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1330 E Kingsley St, Springfield, MO 65804 Phone: 417-887-1965 Fax: 417-887-6499 | |
Dr. James A. Gessler, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1229 E Seminole St, Springfield, MO 65804 Phone: 417-820-9393 Fax: 417-820-9725 | |
Dr. Shachar Tauber, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1229 E Seminole St, Springfield, MO 65804 Phone: 417-820-9393 Fax: 417-820-9725 |