Douglas G Brust (NPI# 1134178791, PAC ID# 3476547779) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INFECTIOUS DISEASE.
| Nation Provider ID (NPI) | 1134178791 |
| PAC ID by PECOS | 3476547779 |
| Professional Enrollment ID | I20060403000468 |
| Full Name | Douglas G Brust |
| Organization Legal Name | THE MCGREGOR CLINIC, INC |
| Address |
3487 Broadway Fort Myers FL 33901-7213 |
| Phone Number | 2393342555 |
| Gender | M |
| Credential | MD |
| Medical School | COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS |
| Graduation Year | 1996 |
| Primary Specialty | INFECTIOUS DISEASE |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 7810164688 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100012 | LEE MEMORIAL HOSPITAL |
| 100244 | CAPE CORAL HOSPITAL - 100244 |
| Address | Phone | Organization |
|---|---|---|
| 3487 Broadway, Fort Myers, FL 33901-7213 | 2393342555 | THE MCGREGOR CLINIC, INC |
| Organization Legal Name | THE MCGREGOR CLINIC, INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Derek W Dewitt | Family Medicine | The Mcgregor Clinic, Inc | 3487 Broadway, Fort Myers, FL 33901-7213 |
| Carolyn S Coleman | Nurse Practitioner | The Mcgregor Clinic, Inc | 3487 Broadway, Fort Myers, FL 33901-7213 |
| Johnna L Dettis | Nurse Practitioner | The Mcgregor Clinic, Inc | 3487 Broadway, Fort Myers, FL 33901-7213 |
| Tara J Creus | Nurse Practitioner | The Mcgregor Clinic, Inc | 3487 Broadway, Fort Myers, FL 33901-7213 |
| Street Address |
3487 BROADWAY |
| City | FORT MYERS |
| State | FL |
| Zip | 33901-7213 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Derek W Dewitt | Family Medicine | The Mcgregor Clinic, Inc | 3487 Broadway, Fort Myers, FL 33901-7213 |
| Carolyn S Coleman | Nurse Practitioner | The Mcgregor Clinic, Inc | 3487 Broadway, Fort Myers, FL 33901-7213 |
| Johnna L Dettis | Nurse Practitioner | The Mcgregor Clinic, Inc | 3487 Broadway, Fort Myers, FL 33901-7213 |
| Tara J Creus | Nurse Practitioner | The Mcgregor Clinic, Inc | 3487 Broadway, Fort Myers, FL 33901-7213 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Russell E Turner | Chiropractic | 3509 Fowler St, Fort Myers, FL 33901-0925 | |
| Jaritza Smith | Nurse Practitioner | Inpatient Medical Services, Inc | 2525 1st St, Fort Myers, FL 33901-2465 |
| Tiffany D Schoen | Nurse Practitioner | Inpatient Medical Services, Inc | 2525 1st St, Fort Myers, FL 33901-2465 |
| Melissa M Francis | Nurse Practitioner | Inpatient Medical Services, Inc | 2525 1st St, Fort Myers, FL 33901-2465 |
| Christine M Dibenedetto | Psychologist, Clinical | 2525 1st St, Fort Myers, FL 33901-2465 | |
| Victor M Stewart | Nurse Practitioner | Inpatient Medical Services, Inc | 2525 1st St, Fort Myers, FL 33901-2465 |
| Daniel Scott Halajcsik | Chiropractic | 4350 Fowler St, Suite 1b, Fort Myers, FL 33901-2616 | |
| Bruce H Senior | Optometry | 2277 1st St, Fort Myers, FL 33901-2959 | |
| Winston D Irving | Diagnostic Radiology | 2090 W 1st St, Apt 809, Fort Myers, FL 33901-3115 | |
| Jody Paitra Mohle | Physical Therapy | 2059 Altamont Ave, Suite 105, Fort Myers, FL 33901-3281 | |
| Find all physicians in zip 33901 | |||
| City | FORT MYERS |
| Zip Code | 33901 |
| Specialty | INFECTIOUS DISEASE |
| City + Specialty | FORT MYERS + INFECTIOUS DISEASE |
Please comment or provide details below to improve the information on Douglas G Brust.
| 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.