| Bradley Frank Gutierrez, DO | |
|
11800 E 12 Mile Rd Dept Of, Warren, MI 48093-3472 | |
| (586) 573-5059 | |
| Not Available |
| Full Name | Bradley Frank Gutierrez |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 24 Years |
| Location | 11800 E 12 Mile Rd Dept Of, Warren, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528074416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 5101015154 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Macomb Oakland Hosp-warren Campus | Warren, MI | Hospital |
| Ascension Providence - Crittenton Hospital Medical Center | Rochester, MI | Hospital |
| Ascension St John Hospital | Detroit, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Independent Observation Physicians Pllc | 3577603604 | 96 |
| Independent Emergency Physicians Pc | 6709798325 | 122 |
| Entity Name | Independent Emergency Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780791343 PECOS PAC ID: 6709798325 Enrollment ID: O20031103000407 |
| Entity Name | Emergency Department Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225083595 PECOS PAC ID: 9436048998 Enrollment ID: O20040312000466 |
| Entity Name | Observation Emergency Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497920524 PECOS PAC ID: 9133292410 Enrollment ID: O20080719000024 |
| Entity Name | Independent Observation Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700119500 PECOS PAC ID: 3577603604 Enrollment ID: O20091221000327 |
| Entity Name | Emergency Professionals Of Michigan Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952740656 PECOS PAC ID: 3274767371 Enrollment ID: O20131003000093 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley Frank Gutierrez, DO 17400 Beechwood Ave, Beverly Hills, MI 48025 Ph: (248) 540-5848 | Bradley Frank Gutierrez, DO 11800 E 12 Mile Rd Dept Of, Warren, MI 48093-3472 Ph: (586) 573-5059 |
Domian Kandah, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5059 | |
Dr. Samuel I Martisius, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 13355 E 10 Mile Rd, Warren, MI 48089 Phone: 586-759-7690 | |
Dr. Jeffrey Lee Bargeon, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 13355 E 10 Mile Rd, Warren, MI 48089 Phone: 586-759-7310 Fax: 586-759-3099 | |
Dr. Jeffrey Cheefai Siu, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 13355 East Ten Mile Road, Warren, MI 48089 Phone: 586-759-7690 | |
Dr. Kristy Marie Smith, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 28800 Ryan Rd, Suite 120, Warren, MI 48092 Phone: 586-558-2860 Fax: 586-558-4624 | |
Maureen L Dailey, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: Er Dept, 118000 E 12th Mile Road, Warren, MI 48093 Phone: 586-573-5028 | |
Margaret Konsza, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 118000 E Twelve Mile Road, Er Department, Warren, MI 48093 Phone: 586-573-5028 |