| Cody Nebeker, MD | |
|
970 Medical Dr Ste 202, Brigham City, UT 84302-3286 | |
| (435) 695-2273 | |
| Not Available |
| Full Name | Cody Nebeker |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 12 Years |
| Location | 970 Medical Dr Ste 202, Brigham City, Utah |
| 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 |
|---|---|---|---|
| 1356755110 | NPI | - | NPPES |
| 5315066446 | Other | MI | CONTROLLED SUBSTANCE |
| 4301105892 | Other | MI | MEIDCAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 4301105892 (Michigan) | Secondary |
| 208600000X | Surgery | 6034453-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Brigham City Community Hospital | Brigham city, UT | Hospital |
| Ogden Regional Medical Center | Ogden, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountainstar Brigham Obgyn Llc | 3678634599 | 6 |
| Entity Name | Mountainstar Brigham Obgyn Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134379696 PECOS PAC ID: 3678634599 Enrollment ID: O20081210000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Cody Nebeker, MD 2950 N Church St Ste 301, Layton, UT 84040-6590 Ph: (801) 771-7771 | Cody Nebeker, MD 970 Medical Dr Ste 202, Brigham City, UT 84302-3286 Ph: (435) 695-2273 |
Dr. Derrick A Walker, D.O. Surgery Medicare: Not Enrolled in Medicare Practice Location: 970 Medical Dr Ste 202, Brigham City, UT 84302 Phone: 435-723-0329 Fax: 435-723-0429 | |
Lance R Bryce, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 984 Medical Dr, Suite 2, Brigham City, UT 84302 Phone: 435-723-0329 Fax: 435-723-0429 | |
Jan Michael Ashdown, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 950 S 500 W, #104, Brigham City, UT 84302 Phone: 435-723-1114 Fax: 435-723-1173 |