| Robert Nolan Brackenrich, DO | |
|
101 Saint Josephs Candler Dr Ste 200, Pooler, GA 31322-9585 | |
| (912) 748-1999 | |
| Not Available |
| Full Name | Robert Nolan Brackenrich |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 6 Years |
| Location | 101 Saint Josephs Candler Dr Ste 200, Pooler, Georgia |
| 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 |
|---|---|---|---|
| 1215559687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 97632 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph's Hospital - Savannah | Savannah, GA | Hospital |
| Candler Hospital | Savannah, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sjc Medical Group Inc | 7719978105 | 49 |
| Entity Name | Sjc Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811233828 PECOS PAC ID: 7719978105 Enrollment ID: O20040524000690 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Nolan Brackenrich, DO 101 Saint Josephs Candler Dr Ste 200, Pooler, GA 31322-9585 Ph: (912) 748-1999 | Robert Nolan Brackenrich, DO 101 Saint Josephs Candler Dr Ste 200, Pooler, GA 31322-9585 Ph: (912) 748-1999 |
Dr. David Monroe Nelson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 138 Canal St Ste 201, Pooler, GA 31322 Phone: 912-348-3833 Fax: 912-348-2669 | |
Dolores J Haviland-foley, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 St. Joseph's Candler Drive, Suite 200, Pooler, GA 31322 Phone: 912-748-1999 Fax: 912-748-3847 | |
Tia Bingham Vincent, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Saint Josephs Candler Dr Ste 200, Pooler, GA 31322 Phone: 912-748-1999 Fax: 912-527-1002 | |
Dr. Taylor Frazier, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 101 Saint Josephs Candler Dr Ste 200, Pooler, GA 31322 Phone: 912-748-1999 Fax: 912-748-3847 | |
Dr. Wesley Don Ensley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Towne Center Blvd Bldg 1200, Pooler, GA 31322 Phone: 912-748-2280 Fax: 912-748-4988 | |
Lawrence F Zottoli, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 St. Joseph Candler Drive, Suite 200, Pooler, GA 31322 Phone: 912-748-1999 Fax: 912-748-3847 |