| Dr Brijendra K Gupta, MD | |
|
2585 Herschel St, Jacksonville, FL 32204-4557 | |
| (904) 388-2678 | |
| (904) 388-6776 |
| Full Name | Dr Brijendra K Gupta |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 39 Years |
| Location | 2585 Herschel St, 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 |
|---|---|---|---|
| 1639145352 | NPI | - | NPPES |
| 273423100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | ME93901 (Florida) | Primary |
| 174400000X | Specialist | ME93901 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bma Of Florida, Incorporated | Jacksonville, FL | Dialysis facility |
| Fresenius Kidney Care Orange Park North | Orange park, FL | Dialysis facility |
| Orange Park Kidney Center | Orange park, FL | Dialysis facility |
| Memorial Hospital Jacksonville | Jacksonville, FL | Hospital |
| Baptist Medical Center Beaches | Jacksonville beach, FL | Hospital |
| Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Kidney Physicians Llc | 4385925650 | 153 |
| Entity Name | Florida Kidney Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760831564 PECOS PAC ID: 4385925650 Enrollment ID: O20161228000460 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brijendra K Gupta, MD 2585 Herschel St, Jacksonville, FL 32204-4557 Ph: (904) 388-2678 | Dr Brijendra K Gupta, MD 2585 Herschel St, Jacksonville, FL 32204-4557 Ph: (904) 388-2678 |
Dr. Jami Ann Rothe Kinnucan, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Michelle Tulang, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Minnsun Koh Park, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3900 University Blvd S, Jacksonville, FL 32216 Phone: 904-222-6656 | |
Sandrela Mussallam Abu Shaibeh, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 304, Jacksonville, FL 32207 Phone: 904-202-3860 Fax: 904-202-3846 | |
Krunal Patel, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4800 Belfort Rd, Jacksonville, FL 32256 Phone: 904-398-7205 Fax: 904-396-4047 | |
Zaid Abdel Rahman, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Sina O'sullivan, MD Nephrology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |