| Michael Robert Brunner, MD | |
|
2910 N 3rd Ave, Phoenix, AZ 85013-4434 | |
| (844) 324-6684 | |
| Not Available |
| Full Name | Michael Robert Brunner |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 5 Years |
| Location | 2910 N 3rd Ave, Phoenix, Arizona |
| 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 |
|---|---|---|---|
| 1760060800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 80554 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Memorial Hospital Jonesboro, Inc. | Jonesboro, AR | Hospital |
| Baptist Memorial Hospital-crittenden, Inc | West memphis, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mid-south Imaging And Therapeutics, P.a. | 9133106396 | 69 |
| Mid-south Imaging And Therapeutics, P.a. | 9133106396 | 69 |
| Mid-south Imaging And Therapeutics, P.a. | 9133106396 | 69 |
| Entity Name | Mid-south Imaging & Therapeutics, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043260763 PECOS PAC ID: 9133106396 Enrollment ID: O20170124002448 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Robert Brunner, MD 8070 Ellis Rd, Bartlett, TN 38133-2806 Ph: (810) 305-2825 | Michael Robert Brunner, MD 2910 N 3rd Ave, Phoenix, AZ 85013-4434 Ph: (844) 324-6684 |
Donald A Tobias, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 97 Biltmore Est, Phoenix, AZ 85016 Phone: 602-956-3209 | |
Daniel Fosu, Radiology Medicare: Not Enrolled in Medicare Practice Location: 16220 N 7th St Apt 2136, Phoenix, AZ 85022 Phone: 480-469-0283 | |
Sanford Ornstein, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 350 W Thomas Rd, Phoenix, AZ 85013 Phone: 602-406-3430 Fax: 602-406-4058 | |
Dr. Abhilash P Nambiar, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4611 E Shea Blvd Ste 120, Phoenix, AZ 85028 Phone: 602-441-3845 | |
Dr. Tilina N. Hu, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 W Thomas Rd, Radiology Department, Phoenix, AZ 85013 Phone: 602-406-3430 Fax: 602-406-2340 | |
Alicia Chen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5777 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-301-8000 | |
Joel James Hayden, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 W Thomas Rd, Phoenix, AZ 85013 Phone: 602-406-3430 Fax: 602-406-2340 |