| Dr Brad David Oliverson, DO | |
|
3269 Stockton Hill Rd, Kingman, AZ 86409-3619 | |
| (928) 757-2101 | |
| Not Available |
| Full Name | Dr Brad David Oliverson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 3269 Stockton Hill Rd, Kingman, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366705444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | R2303 (Arizona) | Primary |
| 207P00000X | Emergency Medicine | PG158047 (Oregon) | Secondary |
| Entity Name | North Lincoln County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730132523 PECOS PAC ID: 4789580218 Enrollment ID: O20031208000415 |
| Entity Name | Gregory P Clifford Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851439681 PECOS PAC ID: 0446241632 Enrollment ID: O20040518000889 |
| Entity Name | Northwest Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235172370 PECOS PAC ID: 3476462334 Enrollment ID: O20060227000540 |
| Entity Name | North Lincoln County Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1255376406 PECOS PAC ID: 4789580218 Enrollment ID: O20101103000284 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brad David Oliverson, DO 3269 Stockton Hill Rd, Kingman, AZ 86409-3619 Ph: () - | Dr Brad David Oliverson, DO 3269 Stockton Hill Rd, Kingman, AZ 86409-3619 Ph: (928) 757-2101 |
Brian Jahnny, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3269 Stockton Hill Rd, Kingman, AZ 86409 Phone: 928-757-0649 Fax: 928-681-8638 | |
Brandon D Perry, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3269 Stockton Hill Rd, Kingman, AZ 86409 Phone: 928-757-2101 | |
Joseph Aaron Bradbury, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3269 Stockton Hill Rd, Kingman, AZ 86409 Phone: 928-757-0649 | |
Jeremy Gabriel Barnes, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3350 Harrison St Apt 124, Kingman, AZ 86409 Phone: 602-301-5909 | |
Daniel Porter, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3269 N Stockton Hill Rd, Kingman, AZ 86409 Phone: 928-757-2101 | |
Lindsey Colling, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3269 N Stockton Hill Rd, Kingman, AZ 86409 Phone: 928-263-4466 | |
Katie Sumpter, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3269 N Stockton Hill Rd, Kingman, AZ 86409 Phone: 928-757-2101 |