Brendan Maney Miner (NPI# 1588616338, PAC ID# 0749253052) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1588616338 |
| PAC ID by PECOS | 0749253052 |
| Professional Enrollment ID | I20150224001794 |
| Full Name | Brendan Maney Miner |
| Organization Legal Name | RADADVANTAGE A PROFESSIONAL CORPORATION |
| Address |
510 14th St St Augustine FL 32084-1507 |
| Phone Number | 9525951100 |
| Gender | M |
| Credential | MD |
| Medical School | STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 2163597899 |
| Number of Group Practice Members | 339 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330286 | GOOD SAMARITAN HOSPITAL MEDICAL CENTER |
| 390123 | POTTSTOWN HOSPITAL |
| 330401 | ST CATHERINE OF SIENA HOSPITAL |
| 390046 | YORK HOSPITAL |
| 110164 | COLISEUM MEDICAL CENTERS, LLC, DBA |
| Address | Phone | Organization |
|---|---|---|
| 7516 Rigby Ct, Lakewood Ranch, FL 34202-2453 | 9525951100 | RADADVANTAGE A PROFESSIONAL CORPORATION |
| 422 Lakefront Dr, Panama City Beach, FL 32413-1084 | 2012301460 | VIRTUAL RADIOLOGIC PROFESSIONALS LLC |
| 510 14th St, Saint Augustine, FL 32084-1507 | 6103277282 | MONTGOMERY RADIOLOGY ASSOCIATES PC |
| 510 14th St, Saint Augustine, FL 32084-1507 | 3366553840 | VIRTUAL RADIOLOGIC PROFESSIONALS LLC |
| 510 14th St, Saint Augustine, FL 32084-1507 | RADIOLOGY ASSOCIATES OF MACON PC | |
| Highway 86 At Topawa Rd, Sells Indian Hospital, Sells, AZ 85634 | 5203837285 | TON SELLS HOSPITAL |
| 510 14th St, St Augustine, FL 32084-1507 | 9525951100 | RADADVANTAGE A PROFESSIONAL CORPORATION |
| 510 14th St, St Augustine, FL 32084-1507 | 5702149907 | GEISINGER CLINIC |
| 510 14th St, St Augustine, FL 32084-1507 | 7865962314 | RADIOLOGY ASSOCIATES OF SOUTH FLORIDA LLC |
| Organization Legal Name | RADADVANTAGE A PROFESSIONAL CORPORATION |
| Physicians | 182 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dmitry Bolkhovets | Diagnostic Radiology | Radadvantage A Professional Corporation | 67 Dora St, Apt 3, Stamford, CT 06902-5414 |
| Robert L Sciulli | Diagnostic Radiology | Radadvantage A Professional Corporation | 200 River Landing Dr, Unit 406a, Daniel Island, SC 29492-8416 |
| Clark T Kholeif | Diagnostic Radiology | Radadvantage A Professional Corporation | 6181 Kahiliholo Rd, Kilauea, HI 96754-5117 |
| Tracy J Robinson | Diagnostic Radiology | Radadvantage A Professional Corporation | 1940 E 3375, Millcreek, UT 84106-3939 |
| Katherine Tobin | Diagnostic Radiology | Radadvantage A Professional Corporation | 579 Sagamore Ave, Unit 60, Portsmouth, NH 03801-5570 |
| Charles J Vassallo | Diagnostic Radiology | Radadvantage A Professional Corporation | 2500 Kalakaua Ave, Apt 1003, Honolulu, HI 96815-3602 |
| Judith Corey | Diagnostic Radiology | Radadvantage A Professional Corporation | 5858 Bellaire Dr, New Orleans, LA 70124-1104 |
| Betsy J Bronson | Diagnostic Radiology | Radadvantage A Professional Corporation | 5050 Donald St, Eugene, OR 97405-3526 |
| Mujtaba M Ali | Diagnostic Radiology | Radadvantage A Professional Corporation | 518 S Buena Vista St, Redlands, CA 92373-5804 |
| Su-yu J Li | Diagnostic Radiology | Radadvantage A Professional Corporation | 6222 Wilshire Blvd, Suite 450, Los Angeles, CA 90048-5162 |
| Street Address |
510 14TH ST |
| City | ST AUGUSTINE |
| State | FL |
| Zip | 32084-1507 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James A Berwick | Clinical Social Worker | 505 22nd St, Saint Augustine, FL 32084-1798 | |
| Thomas James Quigg | Chiropractic | 2 /2 May St, Saint Augustine, FL 32084-2126 | |
| Shannon J Coyle | Nurse Practitioner | Minute Clinic LLC | 2703 N Ponce De Leon Blvd, Saint Augustine, FL 32084-2603 |
| Gloria M Sierra | Nurse Practitioner | Minute Clinic LLC | 2703 N Ponce De Leon Blvd, Saint Augustine, FL 32084-2603 |
| Patricia L Barrozo | Nurse Practitioner | Minute Clinic LLC | 2703 N Ponce De Leon Blvd, Saint Augustine, FL 32084-2603 |
| Jacqueline A Seguin | Nurse Practitioner | Minute Clinic LLC | 2703 N Ponce De Leon Blvd, Saint Augustine, FL 32084-2603 |
| Kristy L Beams | Nurse Practitioner | Minute Clinic LLC | 2703 N Ponce De Leon Blvd, Saint Augustine, FL 32084-2603 |
| Shana Carey | Nurse Practitioner | Minute Clinic LLC | 2703 N Ponce De Leon Blvd, Saint Augustine, FL 32084-2603 |
| Paul L Martin | Psychologist, Clinical | 2200 N Ponce De Leon Blvd, Suite 3, St Augustine, FL 32084-2650 | |
| Jill Anette Yoerger-churchwell | Clinical Social Worker | 2200 N Ponce De Leon Blvd, Suite 3, St Augustine, FL 32084-2650 | |
| Find all physicians in zip 32084 | |||
| City | ST AUGUSTINE |
| Zip Code | 32084 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | ST AUGUSTINE + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Brendan Maney Miner.
| 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.