Jared M Bratvold (NPI# 1609076058, PAC ID# 2860642295) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1609076058 |
| PAC ID by PECOS | 2860642295 |
| Professional Enrollment ID | I20121022000126 |
| Full Name | Jared M Bratvold |
| Organization Legal Name | BAPTIST MEMORIAL MEDICAL GROUP, INC. |
| Address |
1995 Hwy 51 S 203 Covington TN 38019-3655 |
| Phone Number | 9014755480 |
| Gender | M |
| Medical School | UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 5193610228 |
| Number of Group Practice Members | 338 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440048 | BAPTIST MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1995 Hwy 51 S 203, Covington, TN 38019-3655 | 9014755480 | BAPTIST MEMORIAL MEDICAL GROUP, INC. |
| Organization Legal Name | BAPTIST MEMORIAL MEDICAL GROUP, INC. |
| Physicians | 323 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Connie Harris Scurti | Internal Medicine | Baptist Memorial Medical Group, Inc. | 255 Baptist Blvd, Columbus, MS 39705-2006 |
| Joseph Andrew Freeman | Family Medicine | Baptist Memorial Medical Group, Inc. | 1995 Hwy 51 S 203, Covington, TN 38019-3655 |
| Robert Alejo Armada | Obstetrics/gynecology | Baptist Memorial Medical Group, Inc. | 1312 Bishop St, Union City, TN 38261-5406 |
| Jacob Drew Gaskin | Physical Therapy | Baptist Memorial Medical Group, Inc. | 1111 Union Ave, Memphis, TN 38104-6646 |
| Katherine E Waters | Nurse Practitioner | Baptist Memorial Medical Group, Inc. | 504 Azalea Dr, Suite A, Oxford, MS 38655-5397 |
| Carrington E Campbell | Nurse Practitioner | Baptist Memorial Medical Group, Inc. | 112 Medical Arts Dr, Calhoun City, MS 38916-9721 |
| Andrea Jones | Nurse Practitioner | Baptist Memorial Medical Group, Inc. | 6025 Walnut Grove Rd, Suite 627, Memphis, TN 38120-2126 |
| Jenny Doza | Physical Therapy | Baptist Memorial Medical Group, Inc. | 2100 Exeter Rd, Germantown, TN 38138-3966 |
| Jeana L Whitacre | Nurse Practitioner | Baptist Memorial Medical Group, Inc. | 2402 5th St N, Columbus, MS 39705-2000 |
| Jennifer B. Warren | Nurse Practitioner | Baptist Memorial Medical Group, Inc. | 7736 Airways Blvd, Southaven, MS 38671-5306 |
| Street Address |
1995 HWY 51 S 203 |
| City | COVINGTON |
| State | TN |
| Zip | 38019-3655 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph Andrew Freeman | Family Medicine | Baptist Memorial Medical Group, Inc. | 1995 Hwy 51 S 203, Covington, TN 38019-3655 |
| Lusia Filetti | Obstetrics/gynecology | Baptist Memorial Medical Group, Inc. | 1995 Hwy 51 S 203, Covington, TN 38019-3655 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tasma Graham Robertson | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 1618 Hwy 51 S Suites A B, Covington, TN 38019 |
| John Larkin | Internal Medicine | 1995 Hwy 51 S 208, Covington, TN 38019 | |
| Jennifer Mitchell Miller | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 1618 Hwy 51 S Suites A B, Covington, TN 38019 |
| Tammy B Billings | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 1618 Hwy 51 S Suites A B, Covington, TN 38019 |
| Kristen Anderson | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 1618 Hwy 51 S Suites A B, Covington, TN 38019 |
| Madison Wallace | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 1618 Hwy 51 S Suites A B, Covington, TN 38019 |
| Sheketa Lane | Physician Assistant | Fast Pace Medical Clinic Pllc | 1618 Hwy 51 S Suites A B, Covington, TN 38019 |
| Deondra Edwards | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 1618 Hwy 51 S Suites A B, Covington, TN 38019 |
| Tanya R Bartholomew | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 1618 Hwy 51 S Suites A B, Covington, TN 38019 |
| Morgan C Smith | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 1618 Hwy 51 S Suites A B, Covington, TN 38019 |
| Find all physicians in zip 38019 | |||
| City | COVINGTON |
| Zip Code | 38019 |
| Specialty | GENERAL SURGERY |
| City + Specialty | COVINGTON + GENERAL SURGERY |
Please comment or provide details below to improve the information on Jared M Bratvold.
| 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.