Greenbrook Tms Midlothian Llc | |
2820 Waterford Lake Dr Suite 201 Midlothian VA 23112-3994 | |
(804) 419-5780 | |
(804) 419-5781 |
Full Name | Greenbrook Tms Midlothian Llc |
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Speciality | Psychiatry & Neurology |
Location | 2820 Waterford Lake Dr, Midlothian, Virginia |
Authorized Official Name and Position | Bryce Neumann (REGIONAL MANAGER) |
Authorized Official Contact | 4342423278 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Greenbrook Tms Midlothian Llc 2820 Waterford Lake Dr Suite 201 Midlothian VA 23112-3994 Ph: (804) 419-5780 | Greenbrook Tms Midlothian Llc 2820 Waterford Lake Dr Suite 201 Midlothian VA 23112-3994 Ph: (804) 419-5780 |
NPI Number | 1932659976 |
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Provider Enumeration Date | 10/13/2016 |
Last Update Date | 10/13/2016 |
Medicare PECOS PAC ID | 9931480308 |
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Medicare Enrollment ID | O20161222000642 |
Identifier | Type | State | Issuer |
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1932659976 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (Virginia) | Primary |
Provider Name | Bruce Robert Stevens |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1003870379 PECOS PAC ID: 3678468568 Enrollment ID: I20100308000409 |
Provider Name | William Michael Sauve |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1194847178 PECOS PAC ID: 0244385508 Enrollment ID: I20141023000951 |
Provider Name | Nishant Parikh |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1972860229 PECOS PAC ID: 0547499311 Enrollment ID: I20160809002159 |
Provider Name | Peter B Breslin |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1114288529 PECOS PAC ID: 8325288657 Enrollment ID: I20170516000707 |
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