Howard Brazil (NPI# 1699765271, PAC ID# 1254504632) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1699765271 |
| PAC ID by PECOS | 1254504632 |
| Professional Enrollment ID | I20111031000387 |
| Full Name | Howard Brazil |
| Organization Legal Name | JACKSON HOSPITAL AND CLINIC, INC. |
| Address |
707 Mcqueen Smith Rd S Prattville AL 36066-7503 |
| Phone Number | 3342936825 |
| Gender | M |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 0547254153 |
| Number of Group Practice Members | 83 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010024 | JACKSON HOSPITAL & CLINIC INC |
| 010097 | ELMORE COMMUNITY HOSPITAL |
| 010108 | PRATTVILLE BAPTIST HOSPITAL |
| 010023 | BAPTIST MEDICAL CENTER SOUTH |
| Address | Phone | Organization |
|---|---|---|
| 1758 Park Pl, Suite 401, Montgomery, AL 36106-1135 | 3342649191 | JACKSON HOSPITAL AND CLINIC, INC. |
| 707 Mcqueen Smith Rd S, Prattville, AL 36066-7503 | 3342936825 | JACKSON HOSPITAL AND CLINIC, INC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | JACKSON HOSPITAL AND CLINIC, INC. |
| Physicians | 84 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacquelin Ratunil Chua | Rheumatology | Jackson Hospital and Clinic, Inc. | 1722 Pine St, Suite 801, Montgomery, AL 36106-1108 |
| Brooke A Robinson | Family Medicine | Jackson Hospital and Clinic, Inc. | 4150 Carmichael Rd, Suite B, Montgomery, AL 36106-2933 |
| Shyam Padmanabhan | Cardiovascular Disease (cardiology) | Jackson Hospital and Clinic, Inc. | 1725 Pine St, Montgomery, AL 36106-1109 |
| Susan W Aguiar | Otolaryngology | Jackson Hospital and Clinic, Inc. | 1111 Olive St, Montgomery, AL 36106-1129 |
| Ravichandra R Boyella | Cardiovascular Disease (cardiology) | Jackson Hospital and Clinic, Inc. | 1758 Park Pl, Suite 300, Montgomery, AL 36106-1137 |
| Jodie M Shedd | Nurse Practitioner | Jackson Hospital and Clinic, Inc. | 701 Mcqueen Smith Rd S, Prattville, AL 36066-7503 |
| William Saliski | Nurse Practitioner | Jackson Hospital and Clinic, Inc. | 44 Medical Arts Ct, Greenville, AL 36037-3869 |
| Christopher J Waguespack | Internal Medicine | Jackson Hospital and Clinic, Inc. | 11123 Chantilly Pkwy Ct, Pike Road, AL 36064-2880 |
| Gregory P Jones | Family Medicine | Jackson Hospital and Clinic, Inc. | 80 Herren Hill Rd, Suite C, Tallassee, AL 36078-1264 |
| Timothy W Morrow | Urology | Jackson Hospital and Clinic, Inc. | 226 Mitylene Park Dr, Montgomery, AL 36117-3548 |
| Street Address |
707 MCQUEEN SMITH RD S |
| City | PRATTVILLE |
| State | AL |
| Zip | 36066-7503 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer H Mann | Nurse Practitioner | Wybenga Family Healthcare, Inc. | 564 N Memorial Dr, Prattville, AL 36066-2132 |
| Meloni N Carter | Nurse Practitioner | Wybenga Family Healthcare, Inc. | 564 N Memorial Dr, Prattville, AL 36066-2132 |
| Wendy Mcfarland Cavey | Nurse Practitioner | Wybenga Family Healthcare, Inc. | 564 N Memorial Dr, Prattville, AL 36066-2132 |
| Maarten Wybenga | Family Medicine | Wybenga Family Healthcare, Inc. | 564 N Memorial Dr, Prattville, AL 36066-2132 |
| Amy M Wybenga | Nurse Practitioner | Wybenga Family Healthcare, Inc. | 564 N Memorial Dr, Prattville, AL 36066-2132 |
| Alexander C Whitley | Radiation Oncology | Central Alabama Radiation Oncology | 585 Jasmine Trl, Prattville, AL 36066-3657 |
| Robert Lee Franklin | Radiation Oncology | Central Alabama Radiation Oncology | 585 Jasmine Trl, Prattville, AL 36066-3657 |
| Leigh Anne Luna | Nurse Practitioner | Alabama Post-acute Medical Service 1 PC | 601 Jasmine Trl, Prattville, AL 36066-3661 |
| Melanie A Lawrenc | Optometry | Barry J Mcnamara Od PC | 605 Jasmine Trl, Prattville, AL 36066-3661 |
| George N Eischens | Optometry | Barry J Mcnamara Od PC | 605 Jasmine Trl, Prattville, AL 36066-3661 |
| Find all physicians in zip 36066 | |||
| City | PRATTVILLE |
| Zip Code | 36066 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | PRATTVILLE + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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| 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.