Paul T Brungardt, | |
5325 Faraon St, Saint Joseph, MO 64506-3488 | |
(816) 271-6406 | |
(816) 271-7986 |
Full Name | Paul T Brungardt |
---|---|
Gender | Male |
Speciality | Hospitalist |
Location | 5325 Faraon St, Saint Joseph, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386107936 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 2022034945 (Missouri) | Secondary |
208M00000X | Hospitalist | 2022034945 (Missouri) | Primary |
Entity Name | Heartland Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477575405 PECOS PAC ID: 6709772767 Enrollment ID: O20040225001201 |
Entity Name | Mosaic Medical Center - Maryville |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184189797 PECOS PAC ID: 3678813896 Enrollment ID: O20190405001537 |
Mailing Address | Practice Location Address |
---|---|
Paul T Brungardt, 5301 Faraon St Ste 120, Saint Joseph, MO 64506-3512 Ph: (816) 271-6406 | Paul T Brungardt, 5325 Faraon St, Saint Joseph, MO 64506-3488 Ph: (816) 271-6406 |
Dr. Tamara Louise Crouse, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6406 Fax: 816-271-7986 | |
Dr. Steffan Anthony Libarnes, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6406 Fax: 816-271-7986 | |
Allison Marie Voeks Roe, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6406 Fax: 816-271-7986 | |
Aadil Saeed Ahmed, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6000 | |
Sai Siva Ram Guduru, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6406 Fax: 816-271-7986 | |
Nafis Islam, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6406 Fax: 816-271-7986 |