Kyle Steven Brookman, CRNA | |
1325 Spring St, Greenwood, SC 29646-3860 | |
(864) 725-4111 | |
(864) 725-7424 |
Full Name | Kyle Steven Brookman |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1325 Spring St, Greenwood, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1942028022 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 29419 (South Carolina) | Primary |
Entity Name | Self Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982836847 PECOS PAC ID: 6002953916 Enrollment ID: O20091027000071 |
Mailing Address | Practice Location Address |
---|---|
Kyle Steven Brookman, CRNA 1325 Spring St, Greenwood, SC 29646-3860 Ph: (864) 725-4671 | Kyle Steven Brookman, CRNA 1325 Spring St, Greenwood, SC 29646-3860 Ph: (864) 725-4111 |
Susan Striegel-edwards, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4111 | |
Cody Michael Nye, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4111 | |
Karen Marie Tolley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4111 | |
Mrs. Mary Parks Anderson, RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4111 | |
Todd Paul Nelson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4111 | |
Dr. Travis Shoop, DNP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4111 | |
Nathaniel Lever, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4111 |