| Lance Bradt, MD | |
|
2401 S 31st St, Temple, TX 76508-0001 | |
| (254) 724-2111 | |
| Not Available |
| Full Name | Lance Bradt |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 12 Years |
| Location | 2401 S 31st St, Temple, 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 |
|---|---|---|---|
| 1225472400 | NPI | - | NPPES |
| BP10047305 | Other | TX | TEXAS MEDICAL BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | BP10047305 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Oklahoma City, Inc | Oklahoma city, OK | Hospital |
| Oklahoma Spine Hospital | Oklahoma city, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Affiliated Anesthesiologists, Llc | 4688701204 | 47 |
| Entity Name | Affiliated Anesthesiologists, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710214267 PECOS PAC ID: 4688701204 Enrollment ID: O20100429000848 |
| Mailing Address | Practice Location Address |
|---|---|
| Lance Bradt, MD 2401 S 31st St, Temple, TX 76508-0001 Ph: (254) 724-2111 | Lance Bradt, MD 2401 S 31st St, Temple, TX 76508-0001 Ph: (254) 724-2111 |
Taylor Pohler, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 832-928-0760 | |
Dr. Justin Michael Koenemann, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st., Temple, TX 76508 Phone: 254-724-2111 | |
Tyson Joseph Fillmore, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St # Ms 20d304, Temple, TX 76508 Phone: 254-724-5306 | |
David Michel Cousineau, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Collin Seth Buerger, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St # Ms 20d304, Temple, TX 76508 Phone: 254-724-5306 Fax: 254-724-2504 | |
Dair Chevalier, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Sarah Tariq, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1901 Sw H K Dodgen Loop, Temple, TX 76502 Phone: 254-724-5437 |