David J Brockman (NPI# 1013961929, PAC ID# 6204847429) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1013961929 |
| PAC ID by PECOS | 6204847429 |
| Professional Enrollment ID | I20060531000175 |
| Full Name | David J Brockman |
| Organization Legal Name | ASCENSION MEDICAL GROUP PROMED |
| Address |
3025 Gull Rd Kalamazoo MI 49048-1281 |
| Phone Number | 2695522225 |
| Gender | M |
| Credential | MD |
| Medical School | RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY |
| Graduation Year | 1987 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 7315856077 |
| Number of Group Practice Members | 316 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230117 | BORGESS MEDICAL CENTER |
| 230015 | THREE RIVERS HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 3025 Gull Rd, Kalamazoo, MI 49048-1281 | 2695522225 | ASCENSION MEDICAL GROUP PROMED |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_119_overall | Diabetes: Medical Attention for Nephropathy | 100% |
| Organization Legal Name | ASCENSION MEDICAL GROUP PROMED |
| Physicians | 281 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cristopher J Kaps | Neurology | Ascension Medical Group Promed | 1541 Gull Rd, Suite 100, Kalamazoo, MI 49048-1645 |
| Desmond A Jackson | Rheumatology | Ascension Medical Group Promed | 501 S Drake Rd, Kalamazoo, MI 49009-3234 |
| Amy E Pew | Physician Assistant | Ascension Medical Group Promed | 7895 Currier Dr, Portage, MI 49002-4314 |
| Richard A Finedell | Nurse Practitioner | Ascension Medical Group Promed | 9880 E Michigan Ave, Suite 100, Galesburg, MI 49053-8641 |
| Robert Secor | Nurse Practitioner | Ascension Medical Group Promed | 11320 S M 43 Hwy, Delton, MI 49046-9415 |
| Richard A Semones | Internal Medicine | Ascension Medical Group Promed | 940 John St, Kalamazoo, MI 49001-2857 |
| Gabriella Palmitessa | Family Medicine | Ascension Medical Group Promed | 6565 W Main St, Kalamazoo, MI 49009-6114 |
| Terri J Dennis | Nurse Practitioner | Ascension Medical Group Promed | 1241 W Broadway St, Three Rivers, MI 49093-8319 |
| Rajiv Rangrass | Obstetrics/gynecology | Ascension Medical Group Promed | 671 Allegan St, Suite A, Plainwell, MI 49080-1685 |
| Xue Wang | Family Medicine | Ascension Medical Group Promed | 3035 Capital Ave Sw, Battle Creek, MI 49015-4334 |
| Street Address |
3025 GULL RD |
| City | KALAMAZOO |
| State | MI |
| Zip | 49048-1281 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sugandhi Sridharan | Neurology | Ascension Borgess Hospital | 3025 Gull Rd, Kalamazoo, MI 49048-1281 |
| Mark G Vandermyde | Physician Assistant | Ascension Borgess Hospital | 3025 Gull Rd, Kalamazoo, MI 49048-1281 |
| Anthony Lee | Neurology | Ascension Borgess Hospital | 3025 Gull Rd, Kalamazoo, MI 49048-1281 |
| Amanda R Campbell | Internal Medicine | Ascension Borgess Hospital | 3025 Gull Rd, Kalamazoo, MI 49048-1281 |
| Rockelle D Rogers | Internal Medicine | Ascension Borgess Hospital | 3025 Gull Rd, Kalamazoo, MI 49048-1281 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caleb A Donnell | Chiropractic | 2314 Gull Rd, Suite A, Kalamazoo, MI 49048-1432 | |
| Vickie R Spencer | Chiropractic | 2314 Gull Rd, Kalamazoo, MI 49048-1432 | |
| Donald E Harrell | Family Medicine | 2401 Gull Rd, Suite 3, Kalamazoo, MI 49048-1491 | |
| William Ratigan Ranger | Vascular Surgery | Paragon Health, P.C. | 1815 Henson Ave, Kalamazoo, MI 49048-1510 |
| Daniel J Johnston | Vascular Surgery | Paragon Health, P.C. | 1815 Henson Ave, Kalamazoo, MI 49048-1510 |
| Janaye Keifer | Nurse Practitioner | Paragon Health, P.C. | 1815 Henson Ave, Kalamazoo, MI 49048-1510 |
| John S Munn | Vascular Surgery | Paragon Health, P.C. | 1815 Henson Ave, Kalamazoo, MI 49048-1510 |
| Susan M Bauman | Nurse Practitioner | Paragon Health, P.C. | 1815 Henson Ave, Kalamazoo, MI 49048-1510 |
| Rick S Lozon | Anesthesiology | Kalamazoo Anesthesiology PC | 1815 Henson Ave, Suite 2, Kalamazoo, MI 49048-1510 |
| Sheri L Tack | Nurse Practitioner | Paragon Health, P.C. | 1815 Henson Ave, Kalamazoo, MI 49048-1510 |
| Find all physicians in zip 49048 | |||
| City | KALAMAZOO |
| Zip Code | 49048 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | KALAMAZOO + PHYSICAL MEDICINE AND REHABILITATION |
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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.