Dr Gwendolyn Elizabeth Brobbey, MD, MPH | |
1915 Lakefront Dr, Missouri City, TX 77459-1651 | |
(281) 969-8860 | |
Not Available |
Full Name | Dr Gwendolyn Elizabeth Brobbey |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1915 Lakefront Dr, Missouri City, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801833744 | NPI | - | NPPES |
121542805 | Medicaid | TX | |
412069533 0001 | Other | CIGNA PRV ID NUMBER | |
121542809 | Medicaid | TX | |
42069533001 | Other | TRICARE PROV ID NUMBER | |
S0045716 | Other | TX | STATE DPS NUMBER |
00000034JV | Other | TX | BCBS PROV. NUMBER |
10018140 | Other | VA | AMERIGROUP PROV ID NUMBER |
3056377 | Other | AETNA PROV NUMBER | |
1801833744 | Other | NPI | |
236-282-0 | Other | ECFMG NUMBER | |
48268 | Other | MA | MASS BD OF REGISTRATION |
0007929017 | Other | AETNA PIN | |
121542810 | Medicaid | TX | |
31381 | Other | AMERICAN BD OF PEDIATRICS | |
45D1007578 | Other | CLIA CERT. OF WAIVER | |
G0899 | Other | TX | ST. BD OF MED EXAMINERS |
121542806 | Medicaid | TX | |
121542811 | Medicaid | TX | |
236-282-0 | Other | ECFMG |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | G0899 (Texas) | Primary |
Entity Name | Kelsey-seybold Medical Group, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013915255 PECOS PAC ID: 9739093527 Enrollment ID: O20031117000204 |
Mailing Address | Practice Location Address |
---|---|
Dr Gwendolyn Elizabeth Brobbey, MD, MPH 11511 Shadow Creek Pkwy, Pearland, TX 77584-7298 Ph: (713) 442-0000 | Dr Gwendolyn Elizabeth Brobbey, MD, MPH 1915 Lakefront Dr, Missouri City, TX 77459-1651 Ph: (281) 969-8860 |
Archana S. Varma, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 20303 S University Blvd Ste 101, Missouri City, TX 77459 Phone: 281-208-9503 Fax: 281-208-9504 | |
Dr. Rose Santiago Benny, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 20303 S University Blvd Ste 101, Missouri City, TX 77459 Phone: 281-208-9503 Fax: 281-208-9504 | |
Sarah Ho, Pediatrics Medicare: Medicare Enrolled Practice Location: 20303 S University Blvd Ste 101, Missouri City, TX 77459 Phone: 281-208-9503 | |
Paige Allison Garrison, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5819 Highway 6, Suite 330, Missouri City, TX 77459 Phone: 281-499-6300 Fax: 281-499-7180 | |
Jessica Ann Lanerie, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7010 Highway 6, Missouri City, TX 77459 Phone: 713-442-6700 | |
Nina Perrault Chegireddy, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 5819 Highway 6 Ste 300, Missouri City, TX 77459 Phone: 281-499-4301 | |
Dr. Dean Gmoser, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5819 Highway 6, Ste 330, Missouri City, TX 77459 Phone: 281-499-6300 Fax: 281-499-7180 |