| Brandon M Mansoor, MD | |
|
500 W Votaw St, Portland, IN 47371-1322 | |
| (260) 726-1821 | |
| Not Available |
| Full Name | Brandon M Mansoor |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 11 Years |
| Location | 500 W Votaw St, Portland, Indiana |
| 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 |
|---|---|---|---|
| 1174905632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301108185 (Michigan) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 01087994A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Health Bakersfield | Bakersfield, CA | Hospital |
| Mclaren Oakland | Pontiac, MI | Hospital |
| Huron Valley-sinai Hospital | Commerce township, MI | Hospital |
| Detroit Receiving Hospital | Detroit, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mclaren Hospital Group | 2365968351 | 346 |
| Usc Care Medical Group Inc | 0446157747 | 1371 |
| Advanced Radiology And Interventional Associates Inc | 2163816448 | 95 |
| North Oakland North Macomb Imaging Inc | 3476526963 | 4 |
| Vhs Physicians Of Michigan | 8921289760 | 224 |
| Advanced Radiology And Interventional Associates Inc | 2163816448 | 95 |
| Entity Name | Vhs Physicians Of Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073827101 PECOS PAC ID: 8921289760 Enrollment ID: O20110225000849 |
| Entity Name | Radadvantage A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376719666 PECOS PAC ID: 2163597899 Enrollment ID: O20150715000075 |
| Entity Name | Indiana University Radiology Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336192665 PECOS PAC ID: 7315922267 Enrollment ID: O20220825000690 |
| Entity Name | Advanced Radiology And Interventional Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669123626 PECOS PAC ID: 2163816448 Enrollment ID: O20250108002733 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon M Mansoor, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Brandon M Mansoor, MD 500 W Votaw St, Portland, IN 47371-1322 Ph: (260) 726-1821 |
Dr. Daniel J Daunhauer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 500 W Votaw St, Portland, IN 47371 Phone: 260-726-7131 |