Brettly J Teague (NPI# 1952389967, PAC ID# 6709951494) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1952389967 |
| PAC ID by PECOS | 6709951494 |
| Professional Enrollment ID | I20080814000350 |
| Full Name | Brettly J Teague |
| Organization Legal Name | DR. BRETTLY J. TEAGUE, LLC |
| Address |
4342 Treanor Dr Abilene TX 79602-7012 |
| Phone Number | 3256730900 |
| Gender | M |
| Medical School | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 1153496849 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 451384 | COGDELL MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4342 Treanor Dr, Abilene, TX 79602-7012 | 3256730900 | DR. BRETTLY J. TEAGUE, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | DR. BRETTLY J. TEAGUE, LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Harvey Miller Richert Ii | Ophthalmology | Dr. Brettly J. Teague, LLC | 4342 Treanor Dr, Abilene, TX 79602-7012 |
| Kyle R Thaxton | Optometry | Dr. Brettly J. Teague, LLC | 4342 Treanor Dr, Abilene, TX 79602-7012 |
| Street Address |
4342 TREANOR DR |
| City | ABILENE |
| State | TX |
| Zip | 79602-7012 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Harvey Miller Richert Ii | Ophthalmology | Dr. Brettly J. Teague, LLC | 4342 Treanor Dr, Abilene, TX 79602-7012 |
| Kyle R Thaxton | Optometry | Dr. Brettly J. Teague, LLC | 4342 Treanor Dr, Abilene, TX 79602-7012 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Eugene Stuckey | Clinical Social Worker | 100 Chestnut St, Abilene, TX 79602-1440 | |
| Roger A Russell | Psychologist, Clinical | 500 Chestnut St, Suite 1001, Abilene, TX 79602-1477 | |
| Maxey D Mcknight Jr. | Family Medicine | 1181 Lytle Way, Suite F, Abilene, TX 79602-4236 | |
| James T Gilley | Internal Medicine | Health and Human Services Commission | 2501 Maple St, Abilene, TX 79602-5058 |
| Robert J Harden | Psychiatry | Health and Human Services Commission | 2501 Maple St, Abilene, TX 79602-5058 |
| Waseem Ahmed | Psychiatry | New Hope Behavioral Health LLC | 1500 Industrial Blvd, Suite 202, Abilene, TX 79602-7969 |
| Robert S Brown | Clinical Psychologist | 1500 Industrial Blvd, Abilene, TX 79602-7969 | |
| Olusegun A Bello | Psychiatry | 4225 Woods Pl, Abilene, TX 79602-7991 | |
| Duane C Miller | Psychiatry | Opgt, Inc. | 4225 Woods Pl, Abilene, TX 79602-7991 |
| Mark Joseph Ardoin | Physician Assistant | Opgt, Inc. | 4225 Woods Pl, Abilene, TX 79602-7991 |
| Find all physicians in zip 79602 | |||
| City | ABILENE |
| Zip Code | 79602 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | ABILENE + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Brettly J Teague.
| 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.