| Brock Gregory Mcdaniel, MD | |
|
11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | |
| (952) 595-1301 | |
| (612) 294-4903 |
| Full Name | Brock Gregory Mcdaniel |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 28 Years |
| Location | 11995 Singletree Ln Ste 500, Eden Prairie, Minnesota |
| 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 |
|---|---|---|---|
| 1427025071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | A-78657 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bakersfield Memorial Hospital | Bakersfield, CA | Hospital |
| Mercy Hospital | Bakersfield, CA | Hospital |
| Enloe Medical Center | Chico, CA | Hospital |
| Ridgecrest Regional Hospital | Ridgecrest, CA | Hospital |
| Kern Valley Healthcare District | Lake isabella, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kern Radiology Medical Group Inc | 7214826460 | 76 |
| Enloe Medical Center | 9739092388 | 325 |
| Entity Name | Kern Radiology Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700821972 PECOS PAC ID: 7214826460 Enrollment ID: O20040315000421 |
| Entity Name | Lambert Radiology Medical Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609826684 PECOS PAC ID: 8224032271 Enrollment ID: O20060905000303 |
| Entity Name | Radiology Alliance Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861478489 PECOS PAC ID: 1850280470 Enrollment ID: O20130603000012 |
| Entity Name | Southwest Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659346005 PECOS PAC ID: 6103730544 Enrollment ID: O20200528000388 |
| Mailing Address | Practice Location Address |
|---|---|
| Brock Gregory Mcdaniel, MD 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 Ph: (952) 595-1301 | Brock Gregory Mcdaniel, MD 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 Ph: (952) 595-1301 |
Norna L. Karp, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903 | |
Jacob Gebrael, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903 | |
Stephen George Fox, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903 | |
Dr. Trudy J Moore, MD Radiology Medicare: Medicare Enrolled Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903 | |
Dr. Priti Bachubhai Ram, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903 | |
Nathan J Groebner, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 7595 Anagram Dr, Eden Prairie, MN 55344 Phone: 612-573-2200 Fax: 612-573-2274 | |
Dr. Christopher James Macdonald, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903 |