| Dr Wesley Brundridge, DO | |
|
3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | |
| (210) 539-9582 | |
| Not Available |
| Full Name | Dr Wesley Brundridge |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 12 Years |
| Location | 3551 Roger Brooke Dr, Fort Sam Houston, 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 |
|---|---|---|---|
| 1073932786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | R8323 (Texas) | Secondary |
| 207WX0200X | Ophthalmology - Ophthalmic Plastic And Reconstructive Surgery | R8323 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Facial And Oculoplastic Surgery Center Of Texas Pllc | 8527198415 | 5 |
| Entity Name | Facial & Oculoplastic Surgery Center Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619292166 PECOS PAC ID: 8527198415 Enrollment ID: O20100621000326 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Wesley Brundridge, DO 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: () - | Dr Wesley Brundridge, DO 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (210) 539-9582 |
Benjamin Chacko, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 3851 Roger Brooke Dr, Brooke Army Medical Center. Mche-qd/ Credentials, Fort Sam Houston, TX 78234 Phone: 210-916-1245 | |
Sheri Lynn Demartelaere, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 3851 Roger Brooke Dr, Brooke Army Medical Center, Mche-qd Credentials, Fort Sam Houston, TX 78234 Phone: 210-916-2460 | |
Dr. Donald Angelo Gagliano, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 3851 Roger Brooke Dr, Bamc, Attn: Mche-qd (credentials), Fort Sam Houston, TX 78234 Phone: 210-221-8558 Fax: 210-221-8744 | |
Nikhil Jai Godbole, DO Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 253-968-2020 | |
Dr. Sien Chen, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
Dr. Darrel K. Carlton, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr Dept Of, Fort Sam Houston, TX 78234 Phone: 210-539-9582 |