| Commonwealth Medical Partners | |
|
168 E Reynolds Rd Ste 110 Lexington KY 40517-1242 | |
| (859) 494-9072 | |
| (269) 094-8859 |
| Full Name | Commonwealth Medical Partners |
|---|---|
| Speciality | Internal Medicine |
| Location | 168 E Reynolds Rd Ste 110, Lexington, Kentucky |
| Authorized Official Name and Position | Brandon Nelson Conrad (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Contact | 8594949072 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Medical Partners 1152 Iron Lace Ct Lexington KY 40509-2343 Ph: (859) 494-9072 | Commonwealth Medical Partners 168 E Reynolds Rd Ste 110 Lexington KY 40517-1242 Ph: (859) 494-9072 |
| NPI Number | 1922727676 |
|---|---|
| Provider Enumeration Date | 08/25/2022 |
| Last Update Date | 06/23/2023 |
| Medicare PECOS PAC ID | 1456720036 |
|---|---|
| Medicare Enrollment ID | O20221205001516 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922727676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Brandon Nelson Conrad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841428059 PECOS PAC ID: 6608094263 Enrollment ID: I20140825000752 |
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