| Brandon Marshall Welbourn, MD | |
|
350 W Thomas Rd, Phoenix, AZ 85013-4409 | |
| (602) 406-3540 | |
| (602) 406-3540 |
| Full Name | Brandon Marshall Welbourn |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 7 Years |
| Location | 350 W Thomas Rd, Phoenix, Arizona |
| 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 |
|---|---|---|---|
| 1427552603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085N0700X | Radiology - Neuroradiology | 69726 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner Thunderbird Medical Center | Glendale, AZ | Hospital |
| Banner Desert Medical Center | Mesa, AZ | Hospital |
| Banner Boswell Medical Center | Sun city, AZ | Hospital |
| Banner Baywood Medical Center | Mesa, AZ | Hospital |
| Banner Del E. Webb Medical Center | Sun city west, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Banner Imaging Services Llc | 1850724386 | 112 |
| Sonoran Radiology Ltd | 3375964505 | 386 |
| Associated Valley Radiologists Ltd | 8325388499 | 69 |
| Entity Name | Associated Valley Radiologists Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932683257 PECOS PAC ID: 8325388499 Enrollment ID: O20190327003225 |
| Entity Name | Banner Imaging Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770139958 PECOS PAC ID: 1850724386 Enrollment ID: O20191213001312 |
| Entity Name | Sonoran Radiology Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033745708 PECOS PAC ID: 3375964505 Enrollment ID: O20200526002412 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Marshall Welbourn, MD 350 W Thomas Rd, Phoenix, AZ 85013-4409 Ph: () - | Brandon Marshall Welbourn, MD 350 W Thomas Rd, Phoenix, AZ 85013-4409 Ph: (602) 406-3540 |
Donald A Tobias, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 97 Biltmore Est, Phoenix, AZ 85016 Phone: 602-956-3209 | |
Daniel Fosu, Radiology Medicare: Not Enrolled in Medicare Practice Location: 16220 N 7th St Apt 2136, Phoenix, AZ 85022 Phone: 480-469-0283 | |
Sanford Ornstein, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 350 W Thomas Rd, Phoenix, AZ 85013 Phone: 602-406-3430 Fax: 602-406-4058 | |
Dr. Abhilash P Nambiar, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4611 E Shea Blvd Ste 120, Phoenix, AZ 85028 Phone: 602-441-3845 | |
Dr. Tilina N. Hu, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 W Thomas Rd, Radiology Department, Phoenix, AZ 85013 Phone: 602-406-3430 Fax: 602-406-2340 | |
Alicia Chen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5777 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-301-8000 | |
Joel James Hayden, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 W Thomas Rd, Phoenix, AZ 85013 Phone: 602-406-3430 Fax: 602-406-2340 |