Charles T Brice (NPI# 1124029194, PAC ID# 6103019559) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1124029194 |
| PAC ID by PECOS | 6103019559 |
| Professional Enrollment ID | I20101019000363 |
| Full Name | Charles T Brice |
| Organization Legal Name | KND DEVELOPMENT 59 LLC |
| Address |
709 Walnut St Chattanooga TN 37402-1916 |
| Phone Number | 4232667721 |
| Gender | M |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 1974 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 3678602802 |
| Number of Group Practice Members | 150 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440104 | ERLANGER MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 709 Walnut St, Chattanooga, TN 37402-1916 | 4232667721 | KND DEVELOPMENT 59 LLC |
| Organization Legal Name | KND DEVELOPMENT 59 LLC |
| Physicians | 103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allan Chen | Cardiovascular Disease (cardiology) | Knd Development 59 LLC | 4555 S Manhattan Ave, Tampa, FL 33611-2305 |
| Aleksandar A Radovic | Emergency Medicine | Knd Development 59 LLC | 6130 N Sheridan Rd, Chicago, IL 60660-2830 |
| Yvonne A Alanes | Internal Medicine | Knd Development 59 LLC | 845 N Lark Ellen Ave, West Covina, CA 91791-1069 |
| Daniel J Ries | General Practice | Knd Development 59 LLC | 1901 College Ave, Santa Ana, CA 92706-2334 |
| John B Steele | Anesthesiology | Knd Development 59 LLC | 205 Hollow Tree Ln, Houston, TX 77090-2801 |
| Victor E Oliva Gutierrez | Internal Medicine | Knd Development 59 LLC | 700 High St Ne, Albuquerque, NM 87102-2565 |
| Charles Wayne Plummer | Anesthesiology | Knd Development 59 LLC | 2401 Southside Blvd, Greensboro, NC 27406-3311 |
| Jazbeen Mahmood | Family Medicine | Knd Development 59 LLC | 3030 6th S St, Saint Petersburg, FL 33705-3720 |
| Ali H Bawamia | Internal Medicine | Knd Development 59 LLC | 2544 W Montrose Ave, Chicago, IL 60618-1537 |
| Shayna M Tisdall | Physician Assistant | Knd Development 59 LLC | 700 Potomac St, Fl 2, Aurora, CO 80011-6846 |
| Street Address |
709 WALNUT ST |
| City | CHATTANOOGA |
| State | TN |
| Zip | 37402-1916 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick B Mcginty | Internal Medicine | Informe Healthcare Tn, LLC | 709 Walnut St, Chattanooga, TN 37402-1916 |
| Jason A Kilmer | Internal Medicine | Informe Healthcare Tn, LLC | 709 Walnut St, Chattanooga, TN 37402-1916 |
| Naveed H Memon | Internal Medicine | 709 Walnut St, Chattanooga, TN 37402-1916 | |
| Susan G Taylor | Critical Care (intensivists) | Informe Healthcare Tn, LLC | 709 Walnut St, Chattanooga, TN 37402-1916 |
| Nathan H Mull Iv | Pulmonary Disease | 709 Walnut St, Chattanooga, TN 37402-1916 | |
| Carlos E O Baleeiro | Pulmonary Disease | 709 Walnut St, Chattanooga, TN 37402-1916 | |
| Olufunke Akinlaja | Internal Medicine | In Charge Medical Professionals Tn PC | 709 Walnut St, Chattanooga, TN 37402-1916 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Colleen B Malone | Nurse Practitioner | En LLC | 325 Market St, Chattanooga, TN 37402-1226 |
| Amie D Pearson | Nurse Practitioner | En LLC | 325 Market St, Chattanooga, TN 37402-1226 |
| Robin T Jones | Nurse Practitioner | En LLC | 325 Market St, Chattanooga, TN 37402-1226 |
| Susan C Davidson | Nurse Practitioner | En LLC | 325 Market St, Chattanooga, TN 37402-1226 |
| Philip A Johnson | Psychologist, Clinical | 325 Market St, Suite 305, Chattanooga, TN 37402-1247 | |
| Donald Lynn Brookshire | Psychologist, Clinical | 325 Market St, Suite 305b, Chattanooga, TN 37402-1247 | |
| Jason P Rehm | Hand Surgery | The Plastic Surgery Group, P.C. | 901 Riverfront Pkwy, Suite 100, Chattanooga, TN 37402-2102 |
| Jimmy L Waldrop | Plastic and Reconstructive Surgery | The Plastic Surgery Group, P.C. | 901 Riverfront Pkwy, Suite 100, Chattanooga, TN 37402-2102 |
| Mark A Brzezienski | Hand Surgery | The Plastic Surgery Group, P.C. | 901 Riverfront Pkwy, Suite 100, Chattanooga, TN 37402-2102 |
| Todd Elliott Thurston | Plastic and Reconstructive Surgery | The Plastic Surgery Group, P.C. | 901 Riverfront Pkwy, Suite 100, Chattanooga, TN 37402-2102 |
| Find all physicians in zip 37402 | |||
| City | CHATTANOOGA |
| Zip Code | 37402 |
| Specialty | GENERAL SURGERY |
| City + Specialty | CHATTANOOGA + GENERAL SURGERY |
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| 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.