| Dr Bradley Brian Hubbard, MD | |
|
5171 W Olive Ave, Glendale, AZ 85302-4204 | |
| (602) 900-4780 | |
| Not Available |
| Full Name | Dr Bradley Brian Hubbard |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 5171 W Olive Ave, Glendale, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083660245 | NPI | - | NPPES |
| 8147597 | Medicaid | WA | |
| 5088HU | Other | WA | BSWA |
| 0217366 | Other | WA | LIWA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD29012 (Oregon) | Primary |
| 207P00000X | Emergency Medicine | 27797 (Arizona) | Secondary |
| Entity Name | Emergency Group Of Arizona Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215275433 PECOS PAC ID: 1355596644 Enrollment ID: O20130313000442 |
| Entity Name | Tec Emergency Physicians Of Arizona, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245772870 PECOS PAC ID: 6204256084 Enrollment ID: O20201016000157 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bradley Brian Hubbard, MD 505 S 336th St, Suite 600, Federal Way, WA 98003-5947 Ph: (253) 838-6180 | Dr Bradley Brian Hubbard, MD 5171 W Olive Ave, Glendale, AZ 85302-4204 Ph: (602) 900-4780 |
Dr. David Connor, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5555 W Thunderbird Rd, Glendale, AZ 85306 Phone: 602-588-5555 | |
Dr. Joseph Patrick Lozon, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5555 W Thunderbird Rd, Glendale, AZ 85306 Phone: 602-588-5555 | |
Charles Rounds, PAC Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6151-6153 W Olive Ave, Glendale, AZ 85302 Phone: 602-685-6000 Fax: 602-389-3599 | |
Dr. Ronald K Sterrenberg, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 18701 N 67th Ave, Glendale, AZ 85308 Phone: 623-561-7222 | |
Justin Stevenson, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4344 W Bell Rd Ste 102, Glendale, AZ 85308 Phone: 602-588-4040 | |
Daniel Weiler, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5891 W Eugie Ave, Glendale, AZ 85304 Phone: 602-588-6600 |