| Brian Russell Ingram, DO | |
|
1460a 2nd Ave Sw, Jacksonville, AL 36265-3358 | |
| (256) 435-2180 | |
| (256) 435-8718 |
| Full Name | Brian Russell Ingram |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 8 Years |
| Location | 1460a 2nd Ave Sw, Jacksonville, Alabama |
| 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 |
|---|---|---|---|
| 1609356039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO.2156 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Enhabit Home Health | Hoover, AL | Home health agency |
| Prohealth Home Health, Llc | Huntsville, AL | Home health agency |
| Amedisys Home Health Of Anniston | Anniston, AL | Home health agency |
| Centerwell Home Health | Oxford, AL | Home health agency |
| Northeast Alabama Regional Medical Center | Anniston, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeast Medical Group, P.c. | 3577559673 | 139 |
| Entity Name | Southeast Medical Group, P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235296054 PECOS PAC ID: 3577559673 Enrollment ID: O20231019001876 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Russell Ingram, DO 4371 Narrow Lane Rd Ste 100, Montgomery, AL 36116-2975 Ph: (334) 613-3680 | Brian Russell Ingram, DO 1460a 2nd Ave Sw, Jacksonville, AL 36265-3358 Ph: (256) 435-2180 |
Dr. Kewal K Verma, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1642 Pelham Rd S, Jacksonville, AL 36265 Phone: 256-365-2233 Fax: 256-365-2187 |
Russell Leon Ingram, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1460 2nd Ave Sw, Jacksonville, AL 36265 Phone: 256-435-2180 Fax: 256-435-9525 |