Brenda M Mahon-deri (NPI# 1821187873, PAC ID# 0840186391) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1821187873 |
| PAC ID by PECOS | 0840186391 |
| Professional Enrollment ID | I20040322001367 |
| Full Name | Brenda M Mahon-deri |
| Organization Legal Name | STEPHENS MEMORIAL HOSPITAL DISTRICT |
| Address |
200 S Geneva St Breckenridge TX 76424-4702 |
| Phone Number | 2545592241 |
| Gender | F |
| Credential | MD |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 1992 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 4688801715 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450498 | STEPHENS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1601 W 11th Pl, Big Spring, TX 79720-4114 | 4322631211 | CONCORD MEDICAL GROUP OF TEXAS PLLC |
| 101 S Hartford St, Breckenridge Medical Center, Breckenridge, TX 76424-4711 | 2545593363 | STEPHENS MEMORIAL HOSPITAL DISTRICT |
| 200 S Geneva St, Breckenridge, TX 76424-4702 | 2545592241 | STEPHENS MEMORIAL HOSPITAL DISTRICT |
| Organization Legal Name | STEPHENS MEMORIAL HOSPITAL DISTRICT |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry L Maples | Family Medicine | Stephens Memorial Hospital District | 101 S Hartford St, Breckenridge Medical Center, Breckenridge, TX 76424-4711 |
| Joseph A Ouma | Emergency Medicine | Stephens Memorial Hospital District | 200 S Geneva St, Breckenridge, TX 76424-4702 |
| William E Prater | Family Medicine | Stephens Memorial Hospital District | 101 S Hartford St, Breckenridge Medical Center, Breckenridge, TX 76424-4711 |
| Robert H Cooper | Family Medicine | Stephens Memorial Hospital District | 200 S Geneva St, Breckenridge, TX 76424-4702 |
| Street Address |
200 S GENEVA ST |
| City | BRECKENRIDGE |
| State | TX |
| Zip | 76424-4702 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven M Wiese | Emergency Medicine | Concord Medical Group of Texas Pllc | 200 S Geneva St, Breckenridge, TX 76424-4702 |
| Joseph A Ouma | Emergency Medicine | Stephens Memorial Hospital District | 200 S Geneva St, Breckenridge, TX 76424-4702 |
| David N Whitten | Emergency Medicine | Concord Medical Group of Texas Pllc | 200 S Geneva St, Breckenridge, TX 76424-4702 |
| Ren Zhang | Cardiovascular Disease (cardiology) | Hendrick Provider Network | 200 S Geneva St, Breckenridge, TX 76424-4702 |
| Orlando K Beckum | Emergency Medicine | Concord Medical Group of Texas Pllc | 200 S Geneva St, Breckenridge, TX 76424-4702 |
| Christopher Oguayo | Internal Medicine | Concord Medical Group of Texas Pllc | 200 S Geneva St, Breckenridge, TX 76424-4702 |
| Adel Gindy | Emergency Medicine | Concord Medical Group of Texas Pllc | 200 S Geneva St, Breckenridge, TX 76424-4702 |
| Jose A Rodriguez | Family Medicine | Concord Medical Group of Texas Pllc | 200 S Geneva St, Breckenridge, TX 76424-4702 |
| John S Howell | Emergency Medicine | Concord Medical Group of Texas Pllc | 200 S Geneva St, Breckenridge, TX 76424-4702 |
| Ahmed A Mattar | Family Medicine | Concord Medical Group of Texas Pllc | 200 S Geneva St, Breckenridge, TX 76424-4702 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wade B Toombs | Optometry | 1510 W Walker St, Breckenridge, TX 76424-3230 | |
| Brian E Masters | Chiropractic | 1224 W Walker St, Breckenridge, TX 76424-3342 | |
| Jeanene Renee Poston | Clinical Social Worker | 117 E Walker St, Breckenridge, TX 76424-3624 | |
| Marcela Martinez | Nurse Practitioner | Shackelford County Community Resource Center | 2802 W Walker St, Breckenridge, TX 76424-4000 |
| Diana Lee Price | Nurse Practitioner | Shackelford County Community Resource Center | 2802 W Walker St, Breckenridge, TX 76424-4000 |
| Sandra Usaiwevu | Nurse Practitioner | Shackelford County Community Resource Center | 2802 W Walker St, Breckenridge, TX 76424-4000 |
| Cortney Rachelle Berkley | Nurse Practitioner | Shackelford County Community Resource Center | 2802 W Walker St, Breckenridge, TX 76424-4000 |
| Carol Lynn Copelin | Nurse Practitioner | Shackelford County Community Resource Center | 2802 W Walker St, Breckenridge, TX 76424-4000 |
| Cynthia A Perry | Internal Medicine | Shackelford County Community Resource Center | 2802 W Walker St, Breckenridge, TX 76424-4000 |
| Jim T Lawrence | General Practice | 1000 E Williams, J.t. Lawrence M.d., Breckenridge, TX 76424-4624 | |
| Find all physicians in zip 76424 | |||
| City | BRECKENRIDGE |
| Zip Code | 76424 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | BRECKENRIDGE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Brenda M Mahon-deri.
| 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.