| Bryson Dale Borg, MD | |
|
4357 The Masters Dr, Fairfield, CA 94533-9514 | |
| (855) 292-1401 | |
| (866) 396-8340 |
| Full Name | Bryson Dale Borg |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 25 Years |
| Location | 4357 The Masters Dr, Fairfield, California |
| 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 |
|---|---|---|---|
| 1255394227 | NPI | - | NPPES |
| 7617030 | Medicaid | NC | |
| 808272700 | Medicaid | ID | |
| Q11300 | Medicaid | SC | |
| 2601152 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 35082726 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northbay Medical Center | Fairfield, CA | Hospital |
| Sutter Delta Medical Center | Antioch, CA | Hospital |
| Sutter Solano Medical Center | Vallejo, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northbay Healthcare Group | 0042122244 | 293 |
| Solano Diagnostics Partners A Calif Limited Partnership | 4587556865 | 24 |
| Bay Imaging Consultants Medical Group Inc | 9537069125 | 123 |
| Bay Imaging Consultants Medical Group Inc | 9537069125 | 123 |
| Entity Name | Northbay Healthcare Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821147786 PECOS PAC ID: 0042122244 Enrollment ID: O20031105000409 |
| Entity Name | Bay Imaging Consultants Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356597637 PECOS PAC ID: 9537069125 Enrollment ID: O20040110000189 |
| Entity Name | Solano Diagnostics Partners A Calif Limited Partnership |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811940661 PECOS PAC ID: 4587556865 Enrollment ID: O20040330000319 |
| Mailing Address | Practice Location Address |
|---|---|
| Bryson Dale Borg, MD 23625 Commerce Park, Ste 204, Beachwood, OH 44122-5845 Ph: (216) 255-5700 | Bryson Dale Borg, MD 4357 The Masters Dr, Fairfield, CA 94533-9514 Ph: (855) 292-1401 |
Dr. Lewis Weisblum, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1200 B Gale Wilson Blvd, Fairfield, CA 94533 Phone: 707-646-5110 | |
Stephen M. Farrell, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1550 Gateway Blvd, Fairfield, CA 94533 Phone: 707-427-4000 | |
Dr. Peter Steven Palka, D.O. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2023 Cliffwood Dr, Fairfield, CA 94534 Phone: 707-423-7181 Fax: 707-423-7207 | |
Dr. Robert Bloom, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2700 Low Ct, Fairfield, CA 94534 Phone: 925-296-7156 Fax: 925-296-7174 | |
Dr. James B Bronk, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1200 B Gale Wilson Blvd, Fairfield, CA 94533 Phone: 707-429-3600 Fax: 707-429-7997 | |
Dr. James F Mcmahon, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1200 B Gale Wilson Blvd, Fairfield, CA 94533 Phone: 707-429-3600 Fax: 707-429-7997 |