Dr David Bruce Brantley, MD is a medicare enrolled "Emergency Medicine" physician in Claxton, Georgia. He went to Louisiana State University School Of Medicine In New Orleans and graduated in 1981 and has 44 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Southland Evans Emergency Medical Services Llc, Southland Evans Hospitalist Group Llc and his current practice location is
200 N River St, Claxton, Georgia. You can reach out to his office (for appointments etc.) via phone at
(912) 882-4870.
Dr David Bruce Brantley is licensed to practice in Georgia (license number 028506) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104879931.
Physician's Profile
Full Name | Dr David Bruce Brantley |
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Gender | Male |
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Speciality | Emergency Medicine |
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Experience | 44 Years |
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Location | 200 N River St, Claxton, Georgia |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr David Bruce Brantley attended and graduated from Louisiana State University School Of Medicine In New Orleans in 1981
NPI Data:
- NPI Number: 1104879931
- Provider Enumeration Date: 05/19/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1557322534
- Enrollment ID: I20041022000634
Medical Identifiers
Medical identifiers for Dr David Bruce Brantley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104879931 | NPI | - | NPPES |
00327269L | Medicaid | GA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 028506 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Southland Evans Emergency Medical Services Llc | 0143575852 | 6 |
Southland Evans Hospitalist Group Llc | 5799036182 | 5 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr David Bruce Brantley allows following entities to bill medicare on his behalf.
Entity Name | Ben Hill Emergency Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043328156 PECOS PAC ID: 3274530837 Enrollment ID: O20061025000232 |
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Entity Name | Erx Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760823082 PECOS PAC ID: 9335037571 Enrollment ID: O20130930000326 |
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Entity Name | Southland Evans Emergency Medical Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1730697418 PECOS PAC ID: 0143575852 Enrollment ID: O20180621000703 |
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Entity Name | Southland Evans Hospitalist Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1467960146 PECOS PAC ID: 5799036182 Enrollment ID: O20180925000479 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr David Bruce Brantley is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr David Bruce Brantley, MD 200 Corporate Blvd, Suite 201, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Dr David Bruce Brantley, MD 200 N River St, Claxton, GA 30417-1659 Ph: (912) 882-4870 |
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