Dr Brian Thomas Callahan, MD | |
2200 Bergquist Dr, Lackland A F B, TX 78236-9907 | |
(210) 292-2205 | |
Not Available |
Full Name | Dr Brian Thomas Callahan |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 20 Years |
Location | 2200 Bergquist Dr, Lackland A F B, Texas |
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 |
---|---|---|---|
1013059625 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0204X | Radiology - Vascular & Interventional Radiology | 233866 (Massachusetts) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 226167 (Massachusetts) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Umd Shore Medical Center At Easton | Easton, MD | Hospital |
University Of Md Shore Medical Ctr At Chestertown | Chestertown, MD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Maryland Community Medical Group Inc | 3678472214 | 361 |
Entity Name | University Of Maryland Community Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477530624 PECOS PAC ID: 3678472214 Enrollment ID: O20040102000687 |
Entity Name | Delmarva Radiology P A |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699733527 PECOS PAC ID: 9638068547 Enrollment ID: O20040310001320 |
Mailing Address | Practice Location Address |
---|---|
Dr Brian Thomas Callahan, MD 5 Myrtlewood, San Antonio, TX 78218-6000 Ph: (617) 595-8336 | Dr Brian Thomas Callahan, MD 2200 Bergquist Dr, Lackland A F B, TX 78236-9907 Ph: (210) 292-2205 |
Joel Lloyd Rautiola, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Dr, Suite 1, Attn: Credentials (cmc), Lackland A F B, TX 78236 Phone: 210-292-5282 |