| Evan Brock, | |
|
1701 Veterans Dr, Florence, AL 35630-4928 | |
| (256) 200-2913 | |
| Not Available |
| Full Name | Evan Brock |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 2 Years |
| Location | 1701 Veterans Dr, Florence, Alabama |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922838093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1-156034 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Alabama Medical Center | Florence, AL | Hospital |
| Piedmont Columbus Regional Midtown | Columbus, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospitalist Medicine Physicians Of Georgia - Tcs, Pc | 3971024910 | 111 |
| Namc Anesthesia Services Llc | 3476959966 | 30 |
| Entity Name | Hospitalist Medicine Physicians Of Georgia - Tcs, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033926191 PECOS PAC ID: 3971024910 Enrollment ID: O20250306003415 |
| Mailing Address | Practice Location Address |
|---|---|
| Evan Brock, 502 W Pasadena Ave, Muscle Shoals, AL 35661-2142 Ph: (256) 200-2913 | Evan Brock, 1701 Veterans Dr, Florence, AL 35630-4928 Ph: (256) 200-2913 |
Jared Gregg, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 205 Marengo St, Florence, AL 35630 Phone: 256-768-9191 Fax: 256-768-9775 | |
Brittany Nicole Stinnett, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1701 Veterans Dr, Florence, AL 35630 Phone: 256-629-1000 | |
Laura Avelyn Horton, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 205 Marengo St, Florence, AL 35630 Phone: 256-768-9191 Fax: 256-768-9775 | |
Matthew Johnson, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1701 Veterans Dr, Florence, AL 35630 Phone: 256-768-8323 | |
Mr. Ryan Todd Wells Vii, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 205 Marengo St, Florence, AL 35630 Phone: 256-768-9191 Fax: 256-768-9775 | |
Mr. Gary Shawn Puryear, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 205 Marengo St, Florence, AL 35630 Phone: 256-768-9191 Fax: 256-768-9775 | |
Regina Romine Painter, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 205 Marengo St, Florence, AL 35630 Phone: 256-768-9191 Fax: 256-768-9775 |