DR. EDWARD JOHN BRANDECKER (NPI# 1992700413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992700413 |
| Entity Type | Individual |
| Full Name | DR. EDWARD JOHN BRANDECKER |
| Credential | M.D. |
| Practice Address |
1888 Antilley Rd Abilene TX 79606-5205 |
| Practice Telephone | 3257959550 |
| Practice Fax Number | 3257959537 |
| Mailing Telephone | 3257959550 |
| Mailing Fax Number | 3257959537 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2012-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | J2508 | TX | Other Service Providers |
| Y | 208100000X | Physical Medicine & Rehabilitation | J2508 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 81T422 | 01 | |
| FIRSTCARE | 109067100 | 01 | |
| TX | MCR RXR | CR1046 | 01 |
| AETNA | 4223641 | 01 | |
| TX | 102408501 | 05 | |
| TX | MEDICAID/ADC | 102408503 | 01 |
| MEDICARE RR | 250003414 | 01 | |
| TX | FIRSTCARE/ADC | 109067104 | 01 |
| TX | BCBS/ADC | 8X7151 | 01 |
| Street Address |
1888 ANTILLEY RD |
| City | ABILENE |
| State | TX |
| Zip Code | 79606-5205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740286202 | Roberta Marie Kalafut | Specialist | 1888 Antilley Rd, Abilene, TX 79606-5205 | 2005-06-21 |
| 1053885699 | South Abilene Radiology LLC | Clinic/Center | 1888 Antilley Rd, Abilene, TX 79606-1311 | 2019-01-16 |
| 1518436252 | Preston Luke | Registered Nurse | 1888 Antilley Rd, Abilene, TX 79606-5205 | 2018-11-23 |
| 1679068118 | Integrated Pain Associates | Anesthesiology | 1888 Antilley Rd, Abilene, TX 79606-1311 | 2018-06-27 |
| 1407287162 | Mary Norris | Nurse Practitioner | 1888 Antilley Rd, Abilene, TX 79606 | 2013-12-06 |
| 1245575786 | Jonathan Jack Hutton | Physical Therapist | 1888 Antilley Rd, Abilene, TX 79606-5205 | 2012-12-11 |
| 1548537905 | Riley Dale Holt | Physical Therapist | 1888 Antilley Rd, Abilene, TX 79606-5205 | 2011-11-29 |
| 1386864205 | Christie Lynn Beermann | Physical Therapist | 1888 Antilley Rd, Abilene, TX 79606-5205 | 2007-04-26 |
| 1386689669 | Rehabilitation Medicine Specialists | Specialist | 1888 Antilley Rd, Abilene, TX 79606-5205 | 2006-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235746793 | Tara Ann Patrick | Social Worker | Veterans Affairs, 3850 Ridgemont, Abilene, TX 79606 | 2020-09-29 |
| 1740815398 | Kevin William Regan | General Practice | 5326 Meadow Dr., Abilene, TX 79606 | 2020-03-04 |
| 1548800725 | Valentina Walls | Registered Nurse | 14 Verbena St., Abilene, TX 79606 | 2020-01-15 |
| 1932649803 | Palo Pinto County Hospital District | Skilled Nursing Facility | 6050 Hospital Drive, Abilene, TX 79606 | 2017-02-27 |
| 1679925127 | Tania Marie Oyola Rosario | Family Medicine | 6300 Regional Plz Ste 260, Abilene, TX 79606 | 2016-07-08 |
| 1972973196 | Brian Stuart | Specialist/Technologist | 4502 Antilley Rd, Abilene, TX 79606 | 2015-09-30 |
| 1255723151 | Megan Blair Greenway | Specialist/Technologist, Other | 7325 Clariece Drive, Abilene, TX 79606 | 2015-03-02 |
| 1215280698 | James T.s. O'neal II | Physician Assistant | 697 Louisianna Drive, Dyess Afb, TX 79606 | 2012-10-22 |
| 1548522675 | Chukwuemeka Charles Ezeoke | Internal Medicine | 1680 Antilley Rd Ste 120, Abilene, TX 79606 | 2012-06-14 |
| 1801152152 | Jeffrey Darren Edwards | Internal Medicine | 5302 Buffalo Gap Road, Suite 104, Abilene, TX 79606 | 2012-04-11 |
| Find all providers in zip 79606 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184927139 | Jack Milton Mohler | Physical Medicine & Rehabilitation | 1413 North Van Buren, Abilene, KS 67410 | 2010-12-14 |
| 1659330504 | Faisel M Zaman | Physical Medicine & Rehabilitation | 1665 Antilley Rd Ste 240, Abilene, TX 79606-5274 | 2006-03-20 |
| 1750933701 | Brady S Holcomb | Physical Medicine & Rehabilitation | 4601 Hartford St, Abilene, TX 79605-4603 | 2019-07-10 |
| 1114021235 | Divina Rosario San Diego Verner | Physical Medicine & Rehabilitation | 511 Ne 10th St, Abilene, KS 67410-2153 | 2006-09-11 |
| 1043261688 | Daniel L Munton | Physical Medicine & Rehabilitation | 4351 Ridgemont Dr, Suite A, Abilene, TX 79606-8746 | 2006-05-15 |
| 1023098027 | Ferral L Endsley | Physical Medicine & Rehabilitation | 1934 Hickory St, Ste 100, Abilene, TX 79601-2336 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708286 | Christopher Plumos Macasio | Physical Medicine & Rehabilitation | 1912 Mimosa Dr, Corsicana, TX 75110-2094 | 2020-10-19 |
| 1922606367 | Regen Med Pllc | Physical Medicine & Rehabilitation | 4101 Greenbriar Dr Ste 200, Houston, TX 77098-5244 | 2020-10-16 |
| 1871190181 | Memory Rehabilitation Specialist Pllc | Physical Medicine & Rehabilitation | 9214 Clearwater Ranch Ln, Richmond, TX 77407-1700 | 2020-10-08 |
| 1679185383 | Zherina Siasico Bernardino-buenaventura | Physical Medicine & Rehabilitation | 6107 Verde Place Ln, Katy, TX 77493-2827 | 2020-08-24 |
| 1104438951 | Stephanie Dawn Coffey | Physical Medicine & Rehabilitation | 105 E Jessup St, Alvarado, TX 76009-3230 | 2020-08-21 |
| 1942812821 | All In All Neuro Rehab and Wellness LLC | Physical Medicine & Rehabilitation | 6913 Jessica Ct, North Richland Hills, TX 76182-3667 | 2020-08-20 |
| 1568073559 | Medicao Rehab, Pllc | Physical Medicine & Rehabilitation | 1201 Arbre Ln, Friendswood, TX 77546-4906 | 2020-08-12 |
| 1164040325 | Texas Manual Therapy Inc | Physical Medicine & Rehabilitation | 10121 Broadway St, San Antonio, TX 78217-4420 | 2020-07-13 |
| 1295359149 | Ohzone Medical Pllc | Physical Medicine & Rehabilitation | 4300 Macarthur Ave Ste 150, Dallas, TX 75209-6544 | 2020-06-05 |
| 1275154189 | Travel Rehab LLC | Physical Medicine & Rehabilitation | 8404 Warren Pkwy Apt 1334, Frisco, TX 75034-7084 | 2020-05-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.