| Brentwood Medical Group, Inc. | |
|
3720 Brownsville Rd Pittsburgh PA 15227-3520 | |
| (412) 882-9455 | |
| (412) 884-6149 |
| Full Name | Brentwood Medical Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3720 Brownsville Rd, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Scott Carnivale (PRESIDENT) |
| Authorized Official Contact | 4128829455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brentwood Medical Group, Inc. 3720 Brownsville Rd Pittsburgh PA 15227-3520 Ph: (412) 882-9455 | Brentwood Medical Group, Inc. 3720 Brownsville Rd Pittsburgh PA 15227-3520 Ph: (412) 882-9455 |
| NPI Number | 1649381054 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 06/17/2010 |
| Medicare PECOS PAC ID | 0547269037 |
|---|---|
| Medicare Enrollment ID | O20061211000390 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649381054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Scott T Phillips |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003840513 PECOS PAC ID: 6507806817 Enrollment ID: I20050505001020 |
| Provider Name | Dushan Majkic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396775516 PECOS PAC ID: 0941200562 Enrollment ID: I20070105000053 |
| Provider Name | Scott P Carnivale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366472573 PECOS PAC ID: 6204836828 Enrollment ID: I20070105000057 |
| Provider Name | Renee Conn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043824451 PECOS PAC ID: 4284044553 Enrollment ID: I20201028001525 |
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