| Dr Brandon Richard Bergan, MD | |
|
915 Gordon Ave, Thomasville, GA 31792-6614 | |
| (229) 228-2000 | |
| Not Available |
| Full Name | Dr Brandon Richard Bergan |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 14 Years |
| Location | 915 Gordon Ave, Thomasville, Georgia |
| 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 |
|---|---|---|---|
| 1346675246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A124358 (California) | Secondary |
| 207R00000X | Internal Medicine | 072536 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| John D Archbold Memorial Hospital | Thomasville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southland Hospitalist Group, Llc | 8022272913 | 24 |
| Entity Name | Southland Hospitalist Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386910586 PECOS PAC ID: 8022272913 Enrollment ID: O20120605000373 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brandon Richard Bergan, MD 915 Gordon Ave, Thomasville, GA 31792-6614 Ph: (229) 228-2000 | Dr Brandon Richard Bergan, MD 915 Gordon Ave, Thomasville, GA 31792-6614 Ph: (229) 228-2000 |
Dr. Prashant Baliga, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 915 Gordon Ave, Thomasville, GA 31792 Phone: 229-228-8575 | |
Keerthi Kiran Ponugoti, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2705 E Pinetree Blvd Ste C, Thomasville, GA 31792 Phone: 229-584-5731 Fax: 229-584-5941 | |
Jasmine Mutti, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Mimosa Dr Ste 1l, Thomasville, GA 31792 Phone: 229-228-2410 | |
William W Ellis, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 116 Mimosa Dr, Thomasville, GA 31792 Phone: 229-551-0083 Fax: 229-227-9642 | |
Dr. James Monroe Hunt, DO Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 235 W Jackson St, Thomasville, GA 31792 Phone: 229-236-5455 | |
Dr. Raul Gabriel Santos, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 334 Smith Ave, Thomasville, GA 31792 Phone: 229-227-1595 Fax: 229-227-1385 | |
Dr. Asif Rashid Shah, MBBS Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 915 Gordon Ave, Thomasville, GA 31792 Phone: 229-228-8575 |