Brenda J Kozak (NPI# 1104378744, PAC ID# 3971880774) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1104378744 |
| PAC ID by PECOS | 3971880774 |
| Professional Enrollment ID | I20170504000578 |
| Full Name | Brenda J Kozak |
| Organization Legal Name | JOHNSON HEALTH CENTER |
| Address |
134 Elon Rd Madison Heights VA 24572-2536 |
| Phone Number | 4344552480 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9537060413 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490021 | CENTRA |
| Address | Phone | Organization |
|---|---|---|
| 134 Elon Rd, Madison Heights, VA 24572-2536 | 4344552480 | JOHNSON HEALTH CENTER |
| 200 Amelon Sq, Madison Heights, VA 24572-5981 | 4349291400 | JOHNSON HEALTH CENTER |
| Organization Legal Name | JOHNSON HEALTH CENTER |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Juliet S Clutter | Physician Assistant | Johnson Health Center | 134 Elon Rd, Madison Heights, VA 24572-2536 |
| Tana Kathryn Mccoull | Certified Nurse Midwife (cnm) | Johnson Health Center | 2402 Atherholt Rd, Lynchburg, VA 24501-2148 |
| Malorie Lyn Sridhar | Family Medicine | Johnson Health Center | 320 Federal St, Lynchburg, VA 24504-2306 |
| Brian A Freeman | Family Medicine | Johnson Health Center | 620 Court St, Lynchburg, VA 24504-1312 |
| Thelma D Thomas | Certified Nurse Midwife (cnm) | Johnson Health Center | 2402 Atherholt Rd, Lynchburg, VA 24501-2148 |
| Alda Marie Curtis | Clinical Social Worker | Johnson Health Center | 320 Federal St, Lynchburg, VA 24504-2306 |
| Alice Boyd Rochow | Physician Assistant | Johnson Health Center | 620 Court St, Lynchburg, VA 24504-1312 |
| William A Cook Iii | Obstetrics/gynecology | Johnson Health Center | 2402 Atherholt Rd, Lynchburg, VA 24501-2148 |
| Gregory Alexander Collier | Physician Assistant | Johnson Health Center | 320 Federal St, Lynchburg, VA 24504-2306 |
| Karen L Logan | Nurse Practitioner | Johnson Health Center | 320 Federal St, Lynchburg, VA 24504-2306 |
| Street Address |
134 ELON RD |
| City | MADISON HEIGHTS |
| State | VA |
| Zip | 24572-2536 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Juliet S Clutter | Physician Assistant | Johnson Health Center | 134 Elon Rd, Madison Heights, VA 24572-2536 |
| Kenneth L Swanson | Nurse Practitioner | Johnson Health Center | 134 Elon Rd, Madison Heights, VA 24572-2536 |
| Minal J Patel | Physician Assistant | Johnson Health Center | 134 Elon Rd, Madison Heights, VA 24572-2536 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas E Dobyns | Family Medicine | 4579 S Amherst Hwy, Madison Heights, VA 24572-0939 | |
| Julie R Rayos | Pediatric Medicine | Central Virginia Training Center | 521 Colony Rd, Madison Heights, VA 24572-2105 |
| Margaret S Moore | Neurology | Central Virginia Training Center | 521 Colony Rd, Madison Heights, VA 24572-2105 |
| Kenneth C Slater | Internal Medicine | Central Virginia Training Center | 521 Colony Rd, Madison Heights, VA 24572-2105 |
| Kristy Robinson | Optometry | Madison Heights Eye Care PC Optometrists | 5076s Amherst Hwy, Madison Heights, VA 24572-2491 |
| Katherine R See | Optometry | Madison Heights Eye Care PC Optometrists | 5076s Amherst Hwy, Madison Heights, VA 24572-2491 |
| Kevin Cope | Physical Therapy | Rehabilitation Associates of Central Virginia Limited Partnership | 4262 S Amherst Hwy, Suite 102, Madison Heights, VA 24572-5363 |
| Nancy W Brockman | Clinical Social Worker | 3742 S Amherst Hwy, Madison Heights, VA 24572-5960 | |
| Douglas R Fonteyne | Chiropractic | 3756 S Amherst Hwy, Suite 100, Madison Heights, VA 24572-5960 |
| City | MADISON HEIGHTS |
| Zip Code | 24572 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MADISON HEIGHTS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Brenda J Kozak.
| 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.