| Christopher Brandenburg, MD | |
|
114 Executive Dr, Suite E, Lafayette, IN 47905-4883 | |
| (260) 407-8000 | |
| (260) 407-8004 |
| Full Name | Christopher Brandenburg |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 114 Executive Dr, Lafayette, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780602961 | NPI | - | NPPES |
| 00000090520 | Other | IN | ANTHEM |
| 000000365245 | Other | IN | ANTHEM |
| 200126420 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 01045285A (Indiana) | Primary |
| Entity Name | Lafayette Emergency Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861447211 PECOS PAC ID: 9830189240 Enrollment ID: O20040517001198 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Brandenburg, MD 114 Executive Dr, Suite E, Lafayette, IN 47905-4883 Ph: (260) 407-8000 | Christopher Brandenburg, MD 114 Executive Dr, Suite E, Lafayette, IN 47905-4883 Ph: (260) 407-8000 |
Andrew Anthony Alaimo, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 S Creasy Ln, Lafayette, IN 47905 Phone: 765-502-4000 Fax: 765-502-4683 | |
Lance Randell Seagren, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 | |
Samir H Shah, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 S Creasy Ln, Lafayette, IN 47905 Phone: 765-502-4000 Fax: 765-502-4709 | |
Dr. Harsha V Musunuru, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 317-838-4751 | |
Christopher O Wood, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 | |
Dr. Nirav L Chheda, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 | |
Steven F Lane, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 |