| Dr John Robert Brandenburg, DO | |
|
100 Jackson Pike, Gallipolis, OH 45631-1560 | |
| (855) 446-5937 | |
| Not Available |
| Full Name | Dr John Robert Brandenburg |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 16 Years |
| Location | 100 Jackson Pike, Gallipolis, Ohio |
| 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 |
|---|---|---|---|
| 1912131079 | NPI | - | NPPES |
| 7100175030 | Medicaid | KY | |
| 0094527 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 03419 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holzer Medical Center | Gallipolis, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Holzer Clinic Llc | 5890606008 | 264 |
| Entity Name | Holzer Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508817248 PECOS PAC ID: 5890606008 Enrollment ID: O20031215000746 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Robert Brandenburg, DO 90 Jackson Pike, Gallipolis, OH 45631-1562 Ph: (740) 446-5387 | Dr John Robert Brandenburg, DO 100 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (855) 446-5937 |
Utpal K Bhanja, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 170 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 Fax: 740-446-5622 | |
Ashok K. Dayal, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 Fax: 740-446-5486 | |
Rajesh Rajan, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 Fax: 740-446-5982 | |
Ajay K. Kottapalli, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5287 Fax: 740-446-5854 | |
Michael J. Owens, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5131 Fax: 740-446-5486 | |
Rodney B. Stout, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5763 Fax: 740-446-5573 | |
Robert S Bradley, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 Fax: 740-446-5883 |