Brenna Bohatec (NPI# 1346683182, PAC ID# 5092953349) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1346683182 |
| PAC ID by PECOS | 5092953349 |
| Professional Enrollment ID | I20130529000357 |
| Full Name | Brenna Bohatec |
| Organization Legal Name | VIRGINIA CANCER INSTITUTE INCORPORATED |
| Address |
4730 Puddledock Rd Suite 100 Prince George VA 23875-1237 |
| Phone Number | 8044523850 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8628048378 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490067 | SOUTHSIDE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 210 Medical Park Blvd, Suite 200, Petersburg, VA 23805-0002 | 8044311100 | VIRGINIA CANCER INSTITUTE INCORPORATED |
| 210 Medical Park Blvd, Petersburg, VA 23805-0002 | 8044311100 | VIRGINIA CANCER INSTITUTE INCORPORATED |
| 4730 Puddledock Rd, Suite 100, Prince George, VA 23875-1237 | 8044523850 | VIRGINIA CANCER INSTITUTE INCORPORATED |
| 4730 Puddledock Rd, Prince George, VA 23875-1237 | 8044523850 | VIRGINIA CANCER INSTITUTE INCORPORATED |
| Organization Legal Name | VIRGINIA CANCER INSTITUTE INCORPORATED |
| Physicians | 41 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bryan Johnson | General Surgery | Virginia Cancer Institute Incorporated | 10710 Midlothian Tpke, Suite 138, North Chesterfield, VA 23235-4766 |
| Nathan E Langer | Hematology/oncology | Virginia Cancer Institute Incorporated | 210 Medical Park Blvd, Suite 200, Petersburg, VA 23805-0002 |
| Will R Voelzke | Hematology/oncology | Virginia Cancer Institute Incorporated | 1401 Johnston Willis Dr, Suite 100, North Chesterfield, VA 23235-4730 |
| Bonnie P Johnson | Nurse Practitioner | Virginia Cancer Institute Incorporated | 6130 Harbourside Centre Loop, Suite 101, Midlothian, VA 23112-2104 |
| David F Trent | Hematology/oncology | Virginia Cancer Institute Incorporated | 6605 W Broad St, Suite A, Richmond, VA 23230-1715 |
| Seaborn M Wade Iii | Hematology/oncology | Virginia Cancer Institute Incorporated | 7501 Right Flank Rd, Suite 600, Mechanicsville, VA 23116-3863 |
| Gabriel Mccoy | Hematology/oncology | Virginia Cancer Institute Incorporated | 6130 Harbourside Centre Loop, Suite 101, Midlothian, VA 23112-2104 |
| Pablo M Gonzalez | Hematology/oncology | Virginia Cancer Institute Incorporated | 1401 Johnston Willis Dr, Suite 100, North Chesterfield, VA 23235-4730 |
| Gisa A Schunn | Hematology/oncology | Virginia Cancer Institute Incorporated | 1401 Johnston Willis Dr, Suite 100, North Chesterfield, VA 23235-4730 |
| Amy Rose | General Surgery | Virginia Cancer Institute Incorporated | 10710 Midlothian Tpke, Suite 138, North Chesterfield, VA 23235-4766 |
| Street Address |
4730 PUDDLEDOCK RD SUITE 100 |
| City | PRINCE GEORGE |
| State | VA |
| Zip | 23875-1237 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jemina M Liverman | Nurse Practitioner | Central Virginia Health Services Inc | 4260 Crossing Blvd, Suite 2, Prince George, VA 23875 |
| Elizabeth Kramen Barker | Physician Assistant | Emergency Physicians Immediate Care Center 2 LLC | 4600 Puddledock Rd, Prince George, VA 23875-1235 |
| Elisa B Bivins | Nurse Practitioner | Emergency Physicians Immediate Care Center 2 LLC | 4600 Puddledock Rd, Prince George, VA 23875-1235 |
| John A Cochran | Physician Assistant | Emergency Physicians Immediate Care Center 2 LLC | 4600 Puddledock Rd, Prince George, VA 23875-1235 |
| Juan A Morin Jr. | Physician Assistant | Emergency Physicians Immediate Care Center 2 LLC | 4600 Puddledock Rd, Prince George, VA 23875-1235 |
| Gregory D Symenow | Physician Assistant | Emergency Physicians Immediate Care Center 2 LLC | 4600 Puddledock Rd, Prince George, VA 23875-1235 |
| Robert J Klase | Physician Assistant | Emergency Physicians Immediate Care Center 2 LLC | 4600 Puddledock Rd, Prince George, VA 23875-1235 |
| Brian W Mccauley | Physician Assistant | Emergency Physicians Immediate Care Center 2 LLC | 4600 Puddledock Rd, Prince George, VA 23875-1235 |
| Jeffry A Zimmerman | Physician Assistant | Emergency Physicians Immediate Care Center 2 LLC | 4600 Puddledock Rd, Prince George, VA 23875-1235 |
| Bushra Khan | Neurology | Neuro Care of Virginia PC | 4720 Puddledock Rd, Suite 100, Prince George, VA 23875-1237 |
| Find all physicians in zip 23875 | |||
| City | PRINCE GEORGE |
| Zip Code | 23875 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PRINCE GEORGE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Brenna Bohatec.
| 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.