| Kenneth I Brydges, DO | |
|
100 Horwood Place, Ogdensburg, NY 13669 | |
| (315) 394-0426 | |
| Not Available |
| Full Name | Kenneth I Brydges |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 24 Years |
| Location | 100 Horwood Place, Ogdensburg, New York |
| 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 |
|---|---|---|---|
| 1568532042 | NPI | - | NPPES |
| 02824862 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 239404 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carthage Area Hospital, Inc | Carthage, NY | Hospital |
| Canton-potsdam Hospital | Potsdam, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Claxton-hepburn Medical Center | 8426966508 | 32 |
| Carthage Area Hospital Inc | 9931010485 | 81 |
| Entity Name | Claxton-hepburn Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891753034 PECOS PAC ID: 8426966508 Enrollment ID: O20031110000552 |
| Entity Name | Carthage Area Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053497388 PECOS PAC ID: 9931010485 Enrollment ID: O20040209000856 |
| Entity Name | Pons Physician Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457732554 PECOS PAC ID: 9931416187 Enrollment ID: O20150921001165 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth I Brydges, DO 100 Horwood Place, Ogdensburg, NY 13669 Ph: (315) 394-0426 | Kenneth I Brydges, DO 100 Horwood Place, Ogdensburg, NY 13669 Ph: (315) 394-0426 |
Dr. Sandeep Sirsi, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 305 Main Street, Ogdensburg, NY 13669 Phone: 315-393-2611 Fax: 315-393-2633 | |
Dr. Robert Scot Davidson, MD Surgery Medicare: Medicare Enrolled Practice Location: 3 Lyon Place, Ogdensburg, NY 13669 Phone: 315-713-5300 Fax: 866-506-5573 |