| Dr Bryce Conner Pulliam, MD | |
|
1111 Crater Lake Ave, Department Of Emergency Medicine, Medford, OR 97504-6241 | |
| (415) 732-6233 | |
| Not Available |
| Full Name | Dr Bryce Conner Pulliam |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1111 Crater Lake Ave, Medford, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992933642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD158559 (Oregon) | Primary |
| Entity Name | Providence Health & Services - Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093976243 PECOS PAC ID: 3476450560 Enrollment ID: O20031217000186 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bryce Conner Pulliam, MD 1111 Crater Lake Ave, Department Of Emergency Medicine, Medford, OR 97504-6241 Ph: (541) 732-6233 | Dr Bryce Conner Pulliam, MD 1111 Crater Lake Ave, Department Of Emergency Medicine, Medford, OR 97504-6241 Ph: (415) 732-6233 |
Hannah D Wolsiefer-leak, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2825 E Barnett Rd, Medford, OR 97504 Phone: 541-789-7000 | |
Ashley R Laird, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2825 E Barnett Rd, Medford, OR 97504 Phone: 541-789-7000 Fax: 310-782-1763 | |
Dr. Peter Canning, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2825 East Barnett Road, Rm 1c026, Medford, OR 97504 Phone: 541-789-7000 | |
Mrs. Alicia L Welder, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2825 E Barnett Rd, Medford, OR 97504 Phone: 541-789-7000 | |
Jason Cassidy Herfindahl, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2825 E Barnett Rd, Medford, OR 97504 Phone: 541-880-8460 | |
Dr. David Ryland Thornberry, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1111 Crater Lake Ave, Medford, OR 97504 Phone: 541-732-6440 | |
Dr. Douglas S Shields, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 Crater Lake Ave, Medford, OR 97504 Phone: 503-215-4323 Fax: 503-215-0297 |