Brandon Harris (NPI# 1043464951, PAC ID# 3274687769) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1043464951 |
| PAC ID by PECOS | 3274687769 |
| Professional Enrollment ID | I20180522002217 |
| Full Name | Brandon Harris |
| Organization Legal Name | PREMIER PAIN TREATMENT INSTITUTE LLC |
| Address |
111 Vandament Way Mount Orab OH 45154-8395 |
| Phone Number | 5134547246 |
| Gender | M |
| Medical School | MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| Group Practice PAC ID | 5092019281 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150172 | PHYSICIANS' MEDICAL CENTER LLC |
| 360236 | MERCY HOSPITAL CLERMONT |
| Address | Phone | Organization |
|---|---|---|
| 6950 W Desert Inn Rd, Suite 110, Las Vegas, NV 89117-3171 | 7022595550 | SOUTHERN NEVADA PAIN CENTER (KIM) PC |
| 3611 Socialville Foster Rd, Suite 101, Mason, OH 45040-7353 | 5134547246 | PREMIER PAIN TREATMENT INSTITUTE LLC |
| 111 Vandament Way, Mount Orab, OH 45154-8395 | 5134547246 | PREMIER PAIN TREATMENT INSTITUTE LLC |
| Organization Legal Name | PREMIER PAIN TREATMENT INSTITUTE LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pradip M Mehta | Anesthesiology | Premier Pain Treatment Institute LLC | 3611 Socialville Foster Rd, Mason, OH 45040-7353 |
| Street Address |
111 VANDAMENT WAY |
| City | MOUNT ORAB |
| State | OH |
| Zip | 45154-8395 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen Wayne Pendell | Chiropractic | 131 Northpoint Dr, Mt Orab, OH 45154 | |
| Amanda Breanna Strub | Nurse Practitioner | The Little Clinic of Ohio LLC | 210 Sterling Run Blvd, Mount Orab, OH 45154-8350 |
| Melissa J Wiesenhahn | Nurse Practitioner | The Little Clinic of Ohio LLC | 210 Sterling Run Blvd, Mount Orab, OH 45154-8350 |
| Ann M Ruble | Nurse Practitioner | The Little Clinic of Ohio LLC | 210 Sterling Run Blvd, Mount Orab, OH 45154-8350 |
| Lydia D Ogden | Chiropractic | 453 W Main St, Mount Orab, OH 45154-8600 | |
| Andrew B Scott | Nurse Practitioner | Healthsource of Ohio, Inc. | 150 Health Partners Cir, Mount Orab, OH 45154-8610 |
| Teresa Wright | Physician Assistant | Healthsource of Ohio, Inc. | 150 Health Partners Cir, Mount Orab, OH 45154-8610 |
| Robert William Barnhorn | Obstetrics/gynecology | Healthsource of Ohio, Inc. | 150 Health Partners Cir, Mount Orab, OH 45154-8610 |
| Steve Mirkos | Podiatry | Centers for Foot and Ankle Care LLC | 292 Brooks Malott Rd, Mount Orab, OH 45154-9580 |
| City | MOUNT ORAB |
| Zip Code | 45154 |
| Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| City + Specialty | MOUNT ORAB + INTERVENTIONAL PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Brandon Harris.
| 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.