| Kenneth R Close, MD | |
|
2722 Osler Blvd, Bryan, TX 77802-2517 | |
| (979) 776-8291 | |
| (979) 774-7871 |
| Full Name | Kenneth R Close |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 26 Years |
| Location | 2722 Osler Blvd, Bryan, 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 |
|---|---|---|---|
| 1295798825 | NPI | - | NPPES |
| 161640102 | Medicaid | TX |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Regional Health Center | Bryan, TX | Hospital |
| Columbus Community Hospital | Columbus, TX | Hospital |
| Aspire Behavioral Health Of Conroe, Llc | Conroe, TX | Hospital |
| Saint Thomas West Hospital | Nashville, TN | Hospital |
| St John Medical Center, Inc | Tulsa, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peterson Medical Associates | 1355467887 | 146 |
| Bryan Radiology Associates | 4880598143 | 11 |
| Concord Radiology Pllc | 8628332061 | 146 |
| Er Physician Group At Jackson Hospital | 8729059472 | 102 |
| Entity Name | Bryan Radiology Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992731178 PECOS PAC ID: 4880598143 Enrollment ID: O20031120000105 |
| Entity Name | Peterson Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770800575 PECOS PAC ID: 1355467887 Enrollment ID: O20100922000142 |
| Entity Name | Concord Radiology Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598260515 PECOS PAC ID: 8628332061 Enrollment ID: O20180510001179 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth R Close, MD 2722 Osler Blvd, Bryan, TX 77802-2517 Ph: (979) 776-8291 | Kenneth R Close, MD 2722 Osler Blvd, Bryan, TX 77802-2517 Ph: (979) 776-8291 |
Ronald R Eikenhorst, MD Radiology Medicare: Medicare Enrolled Practice Location: 2722 Osler Blvd, Bryan, TX 77802 Phone: 979-776-8291 Fax: 979-774-7871 | |
Scott Douglas Goble, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2215 E Villa Maria Rd, #130, Bryan, TX 77802 Phone: 979-774-0808 Fax: 979-776-3028 | |
Dr. John William Ufema, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2505 East Villa Maria Road, #204, Bryan, TX 77802 Phone: 979-690-6869 | |
Dr. Alvin Lee Schlichtemeier, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2215 E Villa Maria Rd, Suite 130, Bryan, TX 77802 Phone: 979-774-0808 Fax: 979-776-3028 | |
Charles B Thomason, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2722 Osler Blvd, Bryan, TX 77802 Phone: 979-776-8291 Fax: 979-774-7871 | |
Jason Pulnik, Radiology Medicare: Accepting Medicare Assignments Practice Location: 2722 Osler Blvd, Bryan, TX 77802 Phone: 979-776-8291 |