Randy M Brodnik, DO FACOG | |
150 Courthouse Rd Ste 202, Princeton, WV 24740-2450 | |
(304) 327-0531 | |
(304) 324-0548 |
Full Name | Randy M Brodnik |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 37 Years |
Location | 150 Courthouse Rd Ste 202, Princeton, West Virginia |
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 |
---|---|---|---|
1609861996 | NPI | - | NPPES |
6210970 | Other | VA | VIRGINIA MEDICAID |
0093390000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 1566 (West Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Princeton Community Hospital | Princeton, WV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Princeton Community Hospital Assn. Inc. | 3678482221 | 138 |
Entity Name | Princeton Community Hospital Assn. Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093917643 PECOS PAC ID: 3678482221 Enrollment ID: O20031211000436 |
Entity Name | Bluefield Womens Center Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235275579 PECOS PAC ID: 3274791785 Enrollment ID: O20120229000510 |
Entity Name | Miracles Of Life Ob/gyn, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821693656 PECOS PAC ID: 9436561065 Enrollment ID: O20201223001279 |
Mailing Address | Practice Location Address |
---|---|
Randy M Brodnik, DO FACOG 150 Courthouse Rd Ste 202, Princeton, WV 24740-2450 Ph: (304) 327-0531 | Randy M Brodnik, DO FACOG 150 Courthouse Rd Ste 202, Princeton, WV 24740-2450 Ph: (304) 327-0531 |
Dr. Joe Carey Ellington Jr., PH.D., M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 112 Undercliff Ter, Princeton, WV 24740 Phone: 304-425-3800 Fax: 304-487-3914 | |
Lori Tucker, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 904 Harrison St, Princeton, WV 24740 Phone: 304-431-7100 Fax: 304-431-7112 | |
Brandon M Lingenfelter, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 411 12th Street Ext, Princeton, WV 24740 Phone: 681-282-5591 Fax: 681-282-5593 |