| Dr Brad Douglas Talley, MD | |
|
3599 University Blvd. S., Bldg. 300, Jacksonville, FL 32216 | |
| (904) 399-5550 | |
| (904) 346-4334 |
| Full Name | Dr Brad Douglas Talley |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 22 Years |
| Location | 3599 University Blvd. S., 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 |
|---|---|---|---|
| 1700821147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | ME103740 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Beverly Radiology Medical Group Iii | 3476466376 | 327 |
| Arizona Diagnostic Radiology Group Llc | 1658796859 | 62 |
| Beverly Radiology Medical Group Iii | 3476466376 | 327 |
| Fresno Imaging Center | 2466553128 | 127 |
| Desert Advanced Imaging Medical Center | 6406749613 | 209 |
| Entity Name | Mori Bean and Brooks Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093782070 PECOS PAC ID: 8820077878 Enrollment ID: O20040714001317 |
| Entity Name | Desert Advanced Imaging Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568416147 PECOS PAC ID: 6406749613 Enrollment ID: O20151102002385 |
| Entity Name | Beverly Radiology Medical Group III |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962457812 PECOS PAC ID: 3476466376 Enrollment ID: O20160126001729 |
| Entity Name | Northside Radiology Associates LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013960657 PECOS PAC ID: 4486555398 Enrollment ID: O20200914002464 |
| Entity Name | Arizona Diagnostic Radiology Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336757699 PECOS PAC ID: 1658796859 Enrollment ID: O20230201000530 |
| Entity Name | Fresno Imaging Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659456499 PECOS PAC ID: 2466553128 Enrollment ID: O20230825002581 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brad Douglas Talley, MD 3599 University Blvd. S., Bldg. 300, Jacksonville, FL 32216-0000 Ph: (904) 399-5550 | Dr Brad Douglas Talley, MD 3599 University Blvd. S., Bldg. 300, Jacksonville, FL 32216 Ph: (904) 399-5550 |
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 |