| Brad Richard Baker, MD | |
|
1610 South Chadbourne, San Angelo, TX 76903-8510 | |
| (325) 658-5339 | |
| (325) 659-8534 |
| Full Name | Brad Richard Baker |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1610 South Chadbourne, San Angelo, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760460422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H2227 (Texas) | Primary |
| Entity Name | Lecelt, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306372917 PECOS PAC ID: 2365713310 Enrollment ID: O20170809001582 |
| Entity Name | Health And Human Services Commission |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356414692 PECOS PAC ID: 2163795824 Enrollment ID: O20170908001058 |
| Mailing Address | Practice Location Address |
|---|---|
| Brad Richard Baker, MD 1610 South Chadbourne, San Angelo, TX 76903-8510 Ph: (325) 658-5339 | Brad Richard Baker, MD 1610 South Chadbourne, San Angelo, TX 76903-8510 Ph: (325) 658-5339 |
Irvin E. Zeitler Jr., DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-658-1511 | |
Gary P Phillips, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2626 N Bryant Blvd, San Angelo, TX 76903 Phone: 325-658-1511 | |
Dr. Jack P Campbell, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2626 N Bryant Blvd, San Angelo, TX 76903 Phone: 325-658-1511 Fax: 325-481-2166 | |
Seth Sturdivant, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-481-6410 | |
Brett Jason Nile, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2142 Sunset Dr, San Angelo, TX 76904 Phone: 325-747-2635 Fax: 325-747-2798 | |
Darrell T Herrington, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3605 Executive Dr, San Angelo, TX 76904 Phone: 325-949-9555 | |
Christopher C Peterson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2142 Sunset Dr, San Angelo, TX 76904 Phone: 325-245-4059 Fax: 325-245-4059 |