| Shad W Brophy, PA-C | |
|
227 16th St W, Dickinson, ND 58601-4675 | |
| (701) 227-7900 | |
| (701) 227-7985 |
| Full Name | Shad W Brophy |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 227 16th St W, Dickinson, North Dakota |
| 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 |
|---|---|---|---|
| 1215290416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 102455 (Montana) | Secondary |
| 363A00000X | Physician Assistant | PAC0482 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chi St Alexius Health Dickinson | Dickinson, ND | Hospital |
| Glendive Medical Center | Glendive, MT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St. Joseph's Hospital And Health Center | 0547177560 | 92 |
| Gabert Medical Services Inc | 2668385402 | 19 |
| Mailing Address | Practice Location Address |
|---|---|
| Shad W Brophy, PA-C 30 7th St W, Dickinson, ND 58601-4335 Ph: (701) 456-4000 | Shad W Brophy, PA-C 227 16th St W, Dickinson, ND 58601-4675 Ph: (701) 227-7900 |
Larissa Ann Kohler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2615 Fairway St, Dickinson, ND 58601 Phone: 701-456-6000 | |
Kelsey Violet Luce, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2500 Fairway St, Dickinson, ND 58601 Phone: 701-456-4000 | |
Ann Coates, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1531 W Villard St, Dickinson, ND 58601 Phone: 701-225-7575 | |
Robert White, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 141 5th St E, Dickinson, ND 58601 Phone: 701-590-9464 | |
Tatia Marie Call, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2615 Fairway St, Dickinson, ND 58601 Phone: 701-456-6001 | |
Jodi Moore, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 47 8th St W, Dickinson, ND 58601 Phone: 701-456-3819 Fax: 701-456-3815 |