Shannon R Brady-bardsher (NPI# 1316211600, PAC ID# 6305067497) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1316211600 |
| PAC ID by PECOS | 6305067497 |
| Professional Enrollment ID | I20141014000948 |
| Full Name | Shannon R Brady-bardsher |
| Organization Legal Name | GRADY MEMORIAL HOSPITAL |
| Address |
113 S Rush Ave Rush Springs OK 73082-0277 |
| Phone Number | 5804762527 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0648175778 |
| Number of Group Practice Members | 40 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370054 | GRADY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 113 S Rush Ave, Rush Springs, OK 73082-0277 | 5804762527 | GRADY MEMORIAL HOSPITAL |
| Organization Legal Name | GRADY MEMORIAL HOSPITAL |
| Physicians | 48 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abby M Housman | Family Medicine | Grady Memorial Hospital | 2100 W Iowa Ave, Chickasha, OK 73018-2736 |
| Miguel L Rodriguez | Internal Medicine | Grady Memorial Hospital | 2220 W Iowa Ave, Professional Medical Services, Chickasha, OK 73018-2738 |
| Deacon Vice | Emergency Medicine | Grady Memorial Hospital | 2220 W Iowa Ave, Professional Medical Services, Chickasha, OK 73018-2738 |
| Bryan Peck | Diagnostic Radiology | Grady Memorial Hospital | 2220 W Iowa Ave, Professional Medical Services, Chickasha, OK 73018-2738 |
| Bruce L Storms | Emergency Medicine | Grady Memorial Hospital | 2100 W Iowa Ave, Suite A, Chickasha, OK 73018-2736 |
| Kevin W Anderson | Family Medicine | Grady Memorial Hospital | 2100 W Iowa Ave, Five Oaks Medical Group, Chickasha, OK 73018-2736 |
| John Tien Doan | Nuclear Medicine | Grady Memorial Hospital | 2220 W Iowa Ave, Professional Medical Services, Chickasha, OK 73018-2738 |
| Laura M Black-wicks | Family Medicine | Grady Memorial Hospital | 2100 W Iowa Ave, Chickasha, OK 73018-2736 |
| Justin Boe | Diagnostic Radiology | Grady Memorial Hospital | 2220 W Iowa Ave, Chickasha, OK 73018-2738 |
| Mary Masterman | Family Medicine | Grady Memorial Hospital | 2100 W Iowa Ave, Suite A, Chickasha, OK 73018-2736 |
| Street Address |
113 S RUSH AVE |
| City | RUSH SPRINGS |
| State | OK |
| Zip | 73082-0277 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald W Secoy | Physician Assistant | Grady Memorial Hospital | 113 S Rush Ave, Rush Springs, OK 73082-0277 |
| City | RUSH SPRINGS |
| Zip Code | 73082 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | RUSH SPRINGS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Shannon R Brady-bardsher.
| 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.