| Robert Bruce Peterman, CRNA | |
|
400 N Edwards St, Enterprise, AL 36330-2510 | |
| (334) 347-0584 | |
| Not Available |
| Full Name | Robert Bruce Peterman |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 400 N Edwards St, Enterprise, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457536302 | NPI | - | NPPES |
| 515-22615 | Other | AL | BCBS-AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1-055052 (Alabama) | Primary |
| Entity Name | Anesthesia Consultants Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902885874 PECOS PAC ID: 8628975935 Enrollment ID: O20031216000012 |
| Entity Name | Houston County Healthcare Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619026606 PECOS PAC ID: 9436062296 Enrollment ID: O20040219000209 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Bruce Peterman, CRNA 3643 Oak Ridge Ln, Dothan, AL 36303-8303 Ph: (334) 794-7705 | Robert Bruce Peterman, CRNA 400 N Edwards St, Enterprise, AL 36330-2510 Ph: (334) 347-0584 |
William Wade Sharp, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 N Edwards St, Enterprise, AL 36330 Phone: 334-347-0584 | |
Margaret E Gjellum, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 400 N Edwards St, Enterprise, AL 36330 Phone: 333-347-0584 | |
Sandy Lafaye Griffin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 N Edwards St, Enterprise, AL 36330 Phone: 334-347-0584 Fax: 334-347-2080 | |
Melissa Z Bridges, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 N Edwards St, Enterprise, AL 36330 Phone: 334-347-0584 Fax: 334-347-2080 | |
Wendy A Windham, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 N Edwards St, Enterprise, AL 36330 Phone: 334-347-0584 | |
John A Whitfield, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 201 E Watts St, Enterprise, AL 36330 Phone: 334-393-5474 Fax: 334-393-7433 |