| Bryan Lee Kaufman, MD | |
|
4136 Stowe Run Ln, Jacksonville, FL 32225-1622 | |
| (828) 389-9740 | |
| (866) 735-3451 |
| Full Name | Bryan Lee Kaufman |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 39 Years |
| Location | 4136 Stowe Run Ln, Jacksonville, Florida |
| 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 |
|---|---|---|---|
| 1881691764 | NPI | - | NPPES |
| 300110020 | Other | RR | |
| 43420 | Other | BCBS | |
| 259066200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | ME74867 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Impression Imaging Llc | 1759547979 | 34 |
| Jeanes Radiology Associates Llc | 1850290248 | 43 |
| Rittenhouse Imaging Center, Llc | 5193624583 | 39 |
| Lebanon Diagnostic Imaging Llc | 8224088125 | 12 |
| Elite Imaging Llc | 2466496880 | 126 |
| Entity Name | Elite Imaging LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376819888 PECOS PAC ID: 2466496880 Enrollment ID: O20050616000704 |
| Entity Name | Impression Imaging LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780941864 PECOS PAC ID: 1759547979 Enrollment ID: O20120716000446 |
| Entity Name | Rose Radiology Centers LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629162904 PECOS PAC ID: 2961451315 Enrollment ID: O20141022002331 |
| Entity Name | Ft Jesse Imaging Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245287143 PECOS PAC ID: 1951379106 Enrollment ID: O20230824003635 |
| Entity Name | Lebanon Diagnostic Imaging LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346246436 PECOS PAC ID: 8224088125 Enrollment ID: O20250702001288 |
| Entity Name | Jeanes Radiology Associates LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639110240 PECOS PAC ID: 1850290248 Enrollment ID: O20250723001864 |
| Entity Name | Rittenhouse Imaging Center, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962458034 PECOS PAC ID: 5193624583 Enrollment ID: O20250807000105 |
| Entity Name | Cancer & Hematology Centers of Western Mi, P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528018389 PECOS PAC ID: 4082526793 Enrollment ID: O20260409001041 |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan Lee Kaufman, MD 4136 Stowe Run Ln, Ste 204, Jacksonville, FL 32225-1622 Ph: (216) 255-5743 | Bryan Lee Kaufman, MD 4136 Stowe Run Ln, Jacksonville, FL 32225-1622 Ph: (828) 389-9740 |
Dr. Brian Bishop Moon, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3599 University Blvd. S., Bldg. 300, Jacksonville, FL 32216 Phone: 904-399-5550 Fax: 904-346-4334 |
Dr. Rishi Norman Razdan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2416 Dunn Ave, Jacksonville, FL 32218 Phone: 904-353-3664 Fax: 904-353-3858 |
Jonathan William Parker, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |
Leo Czervionke, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |
Nina L Kazerooni, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 7908 Monterey Bay Dr, Jacksonville, FL 32256 Phone: 904-507-9318 |
Dr. Clyde Whitley Vick Iii, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1833 Boulevard, Jacksonville, FL 32206 Phone: 904-232-2751 Fax: 904-232-2482 |
Beau Toskich, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |