Daniel M Brudnak Md Faafp Pa | |
115 S Kent St Gorman TX 76454-3060 | |
(254) 734-4254 | |
(254) 734-4355 |
Full Name | Daniel M Brudnak Md Faafp Pa |
---|---|
Speciality | Family Medicine |
Location | 115 S Kent St, Gorman, Texas |
Authorized Official Name and Position | Daniel M Brudnak (PRESIDENT) |
Authorized Official Contact | 2547344254 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Daniel M Brudnak Md Faafp Pa P O Box 417 Gorman TX 76454 Ph: (254) 734-4254 | Daniel M Brudnak Md Faafp Pa 115 S Kent St Gorman TX 76454-3060 Ph: (254) 734-4254 |
NPI Number | 1942528369 |
---|---|
Provider Enumeration Date | 05/10/2010 |
Last Update Date | 05/10/2010 |
Medicare PECOS PAC ID | 2860521739 |
---|---|
Medicare Enrollment ID | O20100602000681 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942528369 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | J1984 (Texas) | Primary |
Provider Name | Daniel M Brudnak |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396704136 PECOS PAC ID: 8123035235 Enrollment ID: I20060315000202 |
Provider Name | Roberto John Denny |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912787698 PECOS PAC ID: 3870942840 Enrollment ID: I20231215002334 |