Dr Brijendra K Gupta, MD | |
2585 Herschel St, Jacksonville, FL 32204-4557 | |
(904) 388-2678 | |
(904) 388-6776 |
Full Name | Dr Brijendra K Gupta |
---|---|
Gender | Male |
Speciality | Nephrology |
Experience | 38 Years |
Location | 2585 Herschel St, Jacksonville, Florida |
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 |
---|---|---|---|
1639145352 | NPI | - | NPPES |
273423100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | ME93901 (Florida) | Primary |
174400000X | Specialist | ME93901 (Florida) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Bma Of Florida, Incorporated | Jacksonville, FL | Dialysis facility |
Fresenius Kidney Care Orange Park North | Orange park, FL | Dialysis facility |
Orange Park Kidney Center | Orange park, FL | Dialysis facility |
Memorial Hospital Jacksonville | Jacksonville, FL | Hospital |
Baptist Medical Center Beaches | Jacksonville beach, FL | Hospital |
Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Florida Kidney Physicians Llc | 4385925650 | 145 |
Entity Name | Clinic For Kidney Diseases Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467471672 PECOS PAC ID: 5395772859 Enrollment ID: O20050726000965 |
Entity Name | Florida Kidney Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760831564 PECOS PAC ID: 4385925650 Enrollment ID: O20161228000460 |
Mailing Address | Practice Location Address |
---|---|
Dr Brijendra K Gupta, MD 2585 Herschel St, Jacksonville, FL 32204-4557 Ph: (904) 388-2678 | Dr Brijendra K Gupta, MD 2585 Herschel St, Jacksonville, FL 32204-4557 Ph: (904) 388-2678 |
Dr. Jami Ann Rothe Kinnucan, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Michelle Tulang, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Minnsun Koh Park, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3900 University Blvd S, Jacksonville, FL 32216 Phone: 904-222-6656 | |
Sandrela Mussallam Abu Shaibeh, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 304, Jacksonville, FL 32207 Phone: 904-202-3860 Fax: 904-202-3846 | |
Krunal Patel, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4800 Belfort Rd, Jacksonville, FL 32256 Phone: 904-398-7205 Fax: 904-396-4047 | |
Zaid Abdel Rahman, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Sina O'sullivan, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |