| Brandon G Brockbank, MD | |
|
301 University Blvd, Galveston, TX 77555-5302 | |
| (409) 772-7150 | |
| Not Available |
| Full Name | Brandon G Brockbank |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 301 University Blvd, Galveston, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811453616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | V2444 (Texas) | Primary |
| Entity Name | Pueblo Medical Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952353591 PECOS PAC ID: 2264328319 Enrollment ID: O20040225000547 |
| Entity Name | Texas Radiology Associates Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427016161 PECOS PAC ID: 3779578000 Enrollment ID: O20201023001420 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon G Brockbank, MD Po Box 650859, Dept 710, Dallas, TX 75265-0859 Ph: (409) 772-2222 | Brandon G Brockbank, MD 301 University Blvd, Galveston, TX 77555-5302 Ph: (409) 772-7150 |
Dr. Alvin Carlos Camacho, MD Radiology Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-4194 | |
Morton H. Leonard Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 38 Lakeview Dr, Galveston, TX 77551 Phone: 409-692-3345 | |
Dr. Roberto Nonesupplied Zamudio, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-4194 | |
Faustino C. Guinto Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2222 | |
Dr. Eric Michael Walser, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: Department Of Radiology, 301 University Blvd, Galveston, TX 77555 Phone: 409-747-0100 Fax: 409-772-8219 | |
Gregory Chaljub, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2222 | |
Tomas Eduardo Uribe Acosta, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2222 |