Dr Dustin H Brimblecom, MD | |
2501 N. Patterson Street, Valdosta, GA 31602-1735 | |
(229) 333-1000 | |
(800) 437-2672 |
Full Name | Dr Dustin H Brimblecom |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 2501 N. Patterson Street, Valdosta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891920989 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | TRN13697 (Florida) | Secondary |
207P00000X | Emergency Medicine | 066996 (Georgia) | Primary |
Entity Name | University Of Florida Jacksonville Physicians, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326208695 PECOS PAC ID: 9133025869 Enrollment ID: O20040204000616 |
Entity Name | Emergency Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285686675 PECOS PAC ID: 7911811435 Enrollment ID: O20040407000673 |
Mailing Address | Practice Location Address |
---|---|
Dr Dustin H Brimblecom, MD 1613 N. Harrison Parkway #200, Sunrise, FL 33323-2853 Ph: (954) 838-2371 | Dr Dustin H Brimblecom, MD 2501 N. Patterson Street, Valdosta, GA 31602-1735 Ph: (229) 333-1000 |
Dr. Charles John Ussery, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2501 N Patterson St, South Georgia Medical Center, Valdosta, GA 31602 Phone: 229-333-1110 | |
Jeffrey Cohan, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-333-1000 | |
Richard A Ambrozic, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-333-1000 | |
Alan Stout, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 612 N Patterson St, Valdosta, GA 31601 Phone: 706-980-9975 | |
Joel Quinones, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-333-1000 | |
Sharon D Colvin, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-333-1000 | |
Dr. Lester R. Johnson, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2841 N Patterson St, Valdosta, GA 31602 Phone: 229-316-2619 |