Brenton Charles Bohlig (NPI# 1992123335, PAC ID# 0648585273) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is SPORTS MEDICINE.
| Nation Provider ID (NPI) | 1992123335 |
| PAC ID by PECOS | 0648585273 |
| Professional Enrollment ID | I20190805003347 |
| Full Name | Brenton Charles Bohlig |
| Organization Legal Name | GENESIS MEDICAL GROUP, LLC |
| Address |
950 Bethesda Dr Zanesville OH 43701-7507 |
| Phone Number | 7405866828 |
| Gender | M |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 2018 |
| Primary Specialty | SPORTS MEDICINE |
| Group Practice PAC ID | 7719040385 |
| Number of Group Practice Members | 196 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360039 | GENESIS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 950 Bethesda Dr, Zanesville, OH 43701-7507 | 7405866828 | GENESIS MEDICAL GROUP, LLC |
| Organization Legal Name | GENESIS MEDICAL GROUP, LLC |
| Physicians | 172 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| January Lee Beach | Nurse Practitioner | Genesis Medical Group, LLC | 2525 Maple Ave, Suite 1, Zanesville, OH 43701-1896 |
| Jeremy Nielsen Rich | Otolaryngology | Genesis Medical Group, LLC | 2945 Maple Ave, Zanesville, OH 43701-1762 |
| Christy Dawn Hill | Nurse Practitioner | Genesis Medical Group, LLC | 712 China St, Crooksville, OH 43731-1124 |
| Molly J Davis | Nurse Practitioner | Genesis Medical Group, LLC | 999 Garden Rd, Zanesville, OH 43701-1330 |
| Leslie Huber | Nurse Practitioner | Genesis Medical Group, LLC | 955 Bethesda Dr, Fl 1, Zanesville, OH 43701-1873 |
| Monica A Grygo | Family Medicine | Genesis Medical Group, LLC | 401 Lincoln Park Dr, New Lexington, OH 43764-1033 |
| Allison N Dale | Nurse Practitioner | Genesis Medical Group, LLC | 2315 Maple Ave, Zanesville, OH 43701-2028 |
| Donna M Lewis | Clinical Nurse Specialist | Genesis Medical Group, LLC | 1575 Bowers Ln, Zanesville, OH 43701-1000 |
| Gretchen L Weber | General Surgery | Genesis Medical Group, LLC | 2916 Vangader Dr, Zanesville, OH 43701-1744 |
| Grant V Chow | Cardiac Electrophysiology | Genesis Medical Group, LLC | 751 Forest Ave, Suite 303, Zanesville, OH 43701-2875 |
| Street Address |
950 BETHESDA DR |
| City | ZANESVILLE |
| State | OH |
| Zip | 43701-7507 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristy Ritchie | Obstetrics/gynecology | Genesis Medical Group, LLC | 945 Bethesda Dr, Zanesville, OH 43701-0801 |
| Linda T Swan | Obstetrics/gynecology | Genesis Medical Group, LLC | 945 Bethesda Dr, Zanesville, OH 43701-0801 |
| Steven Sutter | Dermatology | Healogics Specialty Physicians of Ohio, LLC | 945 Bethesda Dr, Zanesville, OH 43701-0801 |
| Abigail E Davis | Nurse Practitioner | Genesis Medical Group, LLC | 945 Bethesda Dr, Zanesville, OH 43701-0801 |
| Tracey A Orr | Clinical Social Worker | Mid-ohio Behavioral Health LLC | 930 Bethesda Dr, Unit 4, Zanesville, OH 43701-0815 |
| Nicole Muscari | Nurse Practitioner | Mid-ohio Behavioral Health LLC | 930 Bethesda Dr, Unit 4, Zanesville, OH 43701-0815 |
| Ajay K Sharma | Psychiatry | Mid-ohio Behavioral Health LLC | 930 Bethesda Dr, Unit 4, Zanesville, OH 43701-0815 |
| Corryn R Christy | Nurse Practitioner | Mid-ohio Behavioral Health LLC | 930 Bethesda Dr, Unit 4, Zanesville, OH 43701-0815 |
| Dauntrica Wallstrum | Nurse Practitioner | Mid-ohio Behavioral Health LLC | 930 Bethesda Dr, Unit 4, Zanesville, OH 43701-0815 |
| Karri A Barlock | Nurse Practitioner | Mid-ohio Behavioral Health LLC | 930 Bethesda Dr, Unit 4, Zanesville, OH 43701-0815 |
| Find all physicians in zip 43701 | |||
| City | ZANESVILLE |
| Zip Code | 43701 |
| Specialty | SPORTS MEDICINE |
| City + Specialty | ZANESVILLE + SPORTS MEDICINE |
Please comment or provide details below to improve the information on Brenton Charles Bohlig.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.