| Dr Brian Thomas Callahan, MD | |
|
2200 Bergquist Dr, Lackland A F B, TX 78236-9907 | |
| (210) 292-2205 | |
| Not Available |
| Full Name | Dr Brian Thomas Callahan |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 22 Years |
| Location | 2200 Bergquist Dr, Lackland A F B, Texas |
| 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 |
|---|---|---|---|
| 1013059625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 233866 (Massachusetts) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 226167 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Umd Shore Medical Center At Easton | Easton, MD | Hospital |
| University Of Md Shore Medical Ctr At Chestertown | Chestertown, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Maryland Community Medical Group Inc | 3678472214 | 394 |
| Entity Name | University Of Maryland Community Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477530624 PECOS PAC ID: 3678472214 Enrollment ID: O20040102000687 |
| Entity Name | Delmarva Radiology P A |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699733527 PECOS PAC ID: 9638068547 Enrollment ID: O20040310001320 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian Thomas Callahan, MD 5 Myrtlewood, San Antonio, TX 78218-6000 Ph: (617) 595-8336 | Dr Brian Thomas Callahan, MD 2200 Bergquist Dr, Lackland A F B, TX 78236-9907 Ph: (210) 292-2205 |
Joel Lloyd Rautiola, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Dr, Suite 1, Attn: Credentials (cmc), Lackland A F B, TX 78236 Phone: 210-292-5282 |