| Daniel M Brudnak Md Faafp Pa | |
|
115 S Kent St Gorman TX 76454-3060 | |
| (254) 734-4254 | |
| (254) 734-4355 |
| Full Name | Daniel M Brudnak Md Faafp Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 115 S Kent St, Gorman, Texas |
| Authorized Official Name and Position | Daniel M Brudnak (PRESIDENT) |
| Authorized Official Contact | 2547344254 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel M Brudnak Md Faafp Pa P O Box 417 Gorman TX 76454 Ph: (254) 734-4254 | Daniel M Brudnak Md Faafp Pa 115 S Kent St Gorman TX 76454-3060 Ph: (254) 734-4254 |
| NPI Number | 1942528369 |
|---|---|
| Provider Enumeration Date | 05/10/2010 |
| Last Update Date | 05/10/2010 |
| Medicare PECOS PAC ID | 2860521739 |
|---|---|
| Medicare Enrollment ID | O20100602000681 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942528369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J1984 (Texas) | Primary |
| Provider Name | Daniel M Brudnak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396704136 PECOS PAC ID: 8123035235 Enrollment ID: I20060315000202 |
| Provider Name | Roberto John Denny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912787698 PECOS PAC ID: 3870942840 Enrollment ID: I20231215002334 |