Brenden M Burkholder (NPI# 1922374214, PAC ID# 4789818071) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1922374214 |
| PAC ID by PECOS | 4789818071 |
| Professional Enrollment ID | I20150702002136 |
| Full Name | Brenden M Burkholder |
| Organization Legal Name | CENTRA MEDICAL GROUP LLC |
| Address |
291 Mcbride Ln Gretna VA 24557-2773 |
| Phone Number | 4346561274 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 4789606088 |
| Number of Group Practice Members | 583 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490021 | CENTRA |
| Address | Phone | Organization |
|---|---|---|
| 291 Mcbride Ln, Gretna, VA 24557-2773 | 4346561274 | CENTRA MEDICAL GROUP LLC |
| Organization Legal Name | CENTRA MEDICAL GROUP LLC |
| Physicians | 561 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sebastian J Ksionski | Family Medicine | Centra Medical Group LLC | 935 S Main St, Farmville, VA 23901-2211 |
| Weijuan M Li | Interventional Cardiology | Centra Medical Group LLC | 1039 Mayberry Crossing Dr, Suite C, Moneta, VA 24121-6414 |
| Marie Andrea Lopez | Physician Assistant | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| Tahmina H Brady | Family Medicine | Centra Medical Group LLC | 16890 Forest Rd, Forest, VA 24551-4059 |
| Sharon P Hawout | Certified Nurse Midwife (cnm) | Centra Medical Group LLC | 291 Mcbride Ln, Gretna, VA 24557-2773 |
| Jacqueline Perdue | Physician Assistant | Centra Medical Group LLC | 4830 Rucker Rd, Moneta, VA 24121-5281 |
| Jordan J Synkowski | Neurosurgery | Centra Medical Group LLC | 2138 Langhorne Rd, Lynchburg, VA 24501-1400 |
| Oluloniyin E Peters | Physical Medicine and Rehabilitation | Centra Medical Group LLC | 1330 Oak Ln, Lynchburg, VA 24503-2513 |
| John B Blalock Jr. | General Surgery | Centra Medical Group LLC | 1906 Thomson Dr, Lynchburg, VA 24501-1009 |
| Hope A Alexander | Nurse Practitioner | Centra Medical Group LLC | 412 Namozine St, Burkeville, VA 23922-3184 |
| Street Address |
291 MCBRIDE LN |
| City | GRETNA |
| State | VA |
| Zip | 24557-2773 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharon P Hawout | Certified Nurse Midwife (cnm) | Centra Medical Group LLC | 291 Mcbride Ln, Gretna, VA 24557-2773 |
| Zaki Mustafa Elsarrag | Emergency Medicine | Centra Medical Group LLC | 291 Mcbride Ln, Gretna, VA 24557-2773 |
| Sheree W Marilla | Nurse Practitioner | Centra Medical Group LLC | 291 Mcbride Ln, Gretna, VA 24557-2773 |
| Melissa R Coleman | Nurse Practitioner | Centra Medical Group LLC | 291 Mcbride Ln, Gretna, VA 24557-2773 |
| Anne M Saunier | Nurse Practitioner | Centra Medical Group LLC | 291 Mcbride Ln, Gretna, VA 24557-2773 |
| Jonathan Roeber | Physical Therapy | Centra Outpatient Rehabilitation Services LLC | 291 Mcbride Ln, Gretna, VA 24557-2773 |
| David Mortlock | Family Practice | Centra Medical Group, LLC | 291 Mcbride Ln, Gretna, VA 24557-2773 |
| Tashan Duff | Physical Therapy | Centra Outpatient Rehabilitation Services LLC | 291 Mcbride Ln, Gretna, VA 24557-2773 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bonnie C Daniel | Nurse Practitioner | Danville Physician Practices LLC | 305 N Main St, Gretna, VA 24557-4176 |
| John G Daniel | Family Practice | Danville Physician Practices LLC | 305 N Main St, Gretna, VA 24557-4176 |
| City | GRETNA |
| Zip Code | 24557 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | GRETNA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Brenden M Burkholder.
| 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.