Jonathan William Brugger (NPI# 1013172105, PAC ID# 2365791589) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1013172105 |
| PAC ID by PECOS | 2365791589 |
| Professional Enrollment ID | I20180822000618 |
| Full Name | Jonathan William Brugger |
| Organization Legal Name | UT MEDICAL GROUP, INC. |
| Address |
8001 Centerview Pkwy Suite 101 Cordova TN 38018-4260 |
| Phone Number | 9014486650 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 3173435369 |
| Number of Group Practice Members | 103 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440048 | BAPTIST MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 8001 Centerview Pkwy, Suite 101, Cordova, TN 38018-4260 | 9014486650 | UT MEDICAL GROUP, INC. |
| 1432 Kimbrough Rd, Germantown, TN 38138-2405 | 9017674499 | CHARLES RETINA INSTITUTE PC |
| 601 E Matthews Ave, Southern Eye Associates Ltd, Jonesboro, AR 72401-3145 | 9017674499 | CHARLES RETINA INSTITUTE PC |
| 930 Madison Ave, Suite 200, Memphis, TN 38103-3410 | 9014486650 | UT MEDICAL GROUP, INC. |
| 6947 Crumpler Blvd, Suite 100, Olive Branch, MS 38654-1922 | 9017674499 | CHARLES RETINA INSTITUTE PC |
| Organization Legal Name | UT MEDICAL GROUP, INC. |
| Physicians | 125 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anita Waid | Nurse Practitioner | Ut Medical Group, Inc. | 910 Madison Ave, Suite 922, Memphis, TN 38103-3483 |
| Marthinus Theunis Zeeman | Addiction Medicine | Ut Medical Group, Inc. | 6401 Poplar Ave, Memphis, TN 38119-4823 |
| Charlie Busby | Family Medicine | Ut Medical Group, Inc. | 1999 Hwy 51 S, Covington, TN 38019-3630 |
| Ryan S Rahman | Family Medicine | Ut Medical Group, Inc. | 1301 Primacy Pkwy, Memphis, TN 38119-0213 |
| Brian T Fowler | Ophthalmology | Ut Medical Group, Inc. | 930 Madison Ave, Suite 200, Memphis, TN 38103-3410 |
| Robert D Wallace | Plastic and Reconstructive Surgery | Ut Medical Group, Inc. | 1505 N 2nd St, Memphis, TN 38107-1003 |
| Neal Beckford | Otolaryngology | Ut Medical Group, Inc. | 7675 Wolf River Cir, Suite 202, Memphis, TN 38138-1747 |
| Robert B Canada | Internal Medicine | Ut Medical Group, Inc. | 853 Jefferson Ave, Suite 201, Memphis, TN 38103-2807 |
| Iverson C Bell Jr. | Psychiatry | Ut Medical Group, Inc. | 920 Madison Ave, Suite 200, Memphis, TN 38103-3434 |
| William L Hickerson | Plastic and Reconstructive Surgery | Ut Medical Group, Inc. | 853 Jefferson Ave, Suite 201, Memphis, TN 38103-2807 |
| Street Address |
8001 CENTERVIEW PKWY SUITE 101 |
| City | CORDOVA |
| State | TN |
| Zip | 38018-4260 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Penny Asbell | Ophthalmology | Ut Medical Group, Inc. | 8001 Centerview Pkwy, Suite 101, Cordova, TN 38018-4260 |
| Glenn Allen Gehrke | Pain Management | Pain Management Centers of America Psc | 8001 Centerview Pkwy, Suite 215, Cordova, TN 38018-4276 |
| Octavian Sharp | Nurse Practitioner | Pain Management Centers of America Psc | 8001 Centerview Pkwy, Suite 215, Cordova, TN 38018-4276 |
| Brian M Jerkins | Ophthalmology | Ut Medical Group, Inc. | 8001 Centerview Pkwy, Suite 101, Cordova, TN 38018-4260 |
| Daniel D Ofori | Ophthalmology | Ut Medical Group, Inc. | 8001 Centerview Pkwy, Suite 101, Cordova, TN 38018-4260 |
| James C Fleming | Ophthalmology | Ut Medical Group, Inc. | 8001 Centerview Pkwy, Suite 101, Cordova, TN 38018-4260 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas P Chu | Dermatology | 520 Trinity Creek Cove, Cordova, TN 38018 | |
| William D Stinson | Obstetrics/gynecology | 315 S Walnut Bend Rd, Cordova, TN 38018-1508 | |
| Brandon Todd | Internal Medicine | Physiotherapy Associates Inc | 7865 Trinity Rd, Suite 108, Cordova, TN 38018-2274 |
| Mary May-dacus | Optometry | Cordova Vision Center | 7865 Trinity Rd, Suite 104, Cordova, TN 38018-2274 |
| Luanne Cox | Optometry | Cordova Vision Center | 7865 Trinity Rd, Suite 104, Cordova, TN 38018-2274 |
| John C Hyden | Family Medicine | Physiotherapy Associates Inc | 7865 Trinity Rd, Suite 108, Cordova, TN 38018-2274 |
| Charles Arkin | Rheumatology | Rheumatology and Osteoporosis Center of Memphis, P.c | 540 Trinity Creek Cove, Cordova, TN 38018-2279 |
| Huey T Holt Jr. | Rheumatology | Rheumatology and Osteoporosis Center of Memphis, P.c | 540 Trinity Creek Cove, Cordova, TN 38018-2279 |
| Yamini Menon | Rheumatology | Rheumatology and Osteoporosis Center of Memphis, P.c | 540 Trinity Creek Cove, Cordova, TN 38018-2279 |
| Michael D Boatright | Rheumatology | Rheumatology and Osteoporosis Center of Memphis, P.c | 540 Trinity Creek Cove, Cordova, TN 38018-2279 |
| Find all physicians in zip 38018 | |||
| City | CORDOVA |
| Zip Code | 38018 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | CORDOVA + OPHTHALMOLOGY |
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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.