Mr Bradford R Noble, DO | |
811 N Keene St, Columbia, MO 65201-6634 | |
(573) 777-4878 | |
(573) 777-4466 |
Full Name | Mr Bradford R Noble |
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Gender | Male |
Speciality | Interventional Pain Management |
Experience | 24 Years |
Location | 811 N Keene St, Columbia, Missouri |
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 |
---|---|---|---|
1316982333 | NPI | - | NPPES |
209238104 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208VP0014X | Pain Medicine - Interventional Pain Medicine | 2002003122 (Missouri) | Secondary |
208VP0000X | Pain Medicine - Pain Medicine | 2002003122 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northeast Regional Medical Center | Kirksville, MO | Hospital |
Moberly Regional Medical Center | Moberly, MO | Hospital |
University Of Missouri Health Care | Columbia, MO | Hospital |
Fitzgibbon Memorial Hospital | Marshall, MO | Hospital |
Bothwell Regional Health Center | Sedalia, MO | Hospital |
Entity Name | West Plains Surgery Center, Llc |
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Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1073509733 PECOS PAC ID: 7315971942 Enrollment ID: O20050923000030 |
Entity Name | Mid Missouri Pain Management Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265720114 PECOS PAC ID: 2567634066 Enrollment ID: O20111005000363 |
Mailing Address | Practice Location Address |
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Mr Bradford R Noble, DO Po Box 7096, Stockton, CA 95267 Ph: (209) 956-7725 | Mr Bradford R Noble, DO 811 N Keene St, Columbia, MO 65201-6634 Ph: (573) 777-4878 |
Gary Wayne Jay, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 Hitt St, Columbia, MO 65212 Phone: 573-882-1515 Fax: 573-884-0070 | |
Jerry Paul Miller Iii, Pain Medicine Medicare: Medicare Enrolled Practice Location: 800 Hospital Dr, Columbia, MO 65201 Phone: 573-814-6000 | |
Dr. James C Newton, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 S Keene St, Columbia, MO 65201 Phone: 573-443-2402 Fax: 573-443-0574 |