Bryan J Barboza (NPI# 1154369973, PAC ID# 6800823105) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1154369973 |
| PAC ID by PECOS | 6800823105 |
| Professional Enrollment ID | I20050719000375 |
| Full Name | Bryan J Barboza |
| Organization Legal Name | GASTON RADIOLOGY PA |
| Address |
2525 Court Dr Gastonia NC 28054-2140 |
| Phone Number | 7048342000 |
| Gender | M |
| Credential | PA |
| Medical School | YALE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4082680806 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340032 | GASTON MEMORIAL HOSPITAL, INC. |
| Address | Phone | Organization |
|---|---|---|
| 2525 Court Dr, Gastonia, NC 28054-2140 | 7048342000 | GASTON RADIOLOGY PA |
| 620 Summit Crossing Place, Suite 106, Gastonia, NC 28054-2176 | 7048644378 | GASTON RADIOLOGY PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_021_overall | Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin | 9% | |
| MIPS_EC_076_overall | Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections | 100% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 97% |
| Organization Legal Name | GASTON RADIOLOGY PA |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John D Creasy | Diagnostic Radiology | Gaston Radiology Pa | 336 Burtonwood Dr, Gastonia, NC 28054-4054 |
| Christopher J Vandermeer | Diagnostic Radiology | Gaston Radiology Pa | 620 Summit Crossing Place, Suite 106, Gastonia, NC 28054-2176 |
| Mark T Edge | Diagnostic Radiology | Gaston Radiology Pa | 2525 Court Dr, Gastonia, NC 28054-2140 |
| Renee Raimondi Deweese | Diagnostic Radiology | Gaston Radiology Pa | 1212 Spruce St, Belmont, NC 28012-3385 |
| Myrosia T Mitchell | Diagnostic Radiology | Gaston Radiology Pa | 2525 Court Dr, Gastonia, NC 28054-2140 |
| Richard S Herring | Diagnostic Radiology | Gaston Radiology Pa | 209 Park St, Belmont, NC 28012-5205 |
| Chad M Clark | Diagnostic Radiology | Gaston Radiology Pa | 620 Summit Crossing Place, Suite 106, Gastonia, NC 28054-2176 |
| Robert W Miller | Diagnostic Radiology | Gaston Radiology Pa | 620 Summit Crossing Place, Suite 106, Gastonia, NC 28054-2176 |
| Stephen John Lostetter Jr. | Diagnostic Radiology | Gaston Radiology Pa | 620 Summit Crossing Place, Suite 106, Gastonia, NC 28054-2176 |
| Mark W Memolo | Diagnostic Radiology | Gaston Radiology Pa | 620 Summit Crossing Place, Suite 106, Gastonia, NC 28054-2176 |
| Street Address |
2525 COURT DR |
| City | GASTONIA |
| State | NC |
| Zip | 28054-2140 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark T Edge | Diagnostic Radiology | Gaston Radiology Pa | 2525 Court Dr, Gastonia, NC 28054-2140 |
| Jasmine S Stone | Physician Assistant | Caromont Medical Group Inc | 2525 Court Dr, Gastonia, NC 28054-2140 |
| Shaheen Nmn Khan | Internal Medicine | Caromont Medical Group Inc | 2525 Court Dr, Gastonia, NC 28054-2140 |
| Ajaykumar N Patel | Internal Medicine | Caromont Medical Group Inc | 2525 Court Dr, Gastonia, NC 28054-2140 |
| Lisa C Richards | Physician Assistant | Caromont Medical Group Inc | 2525 Court Dr, Gastonia, NC 28054-2140 |
| Vladislav Valtsis | Internal Medicine | Caromont Medical Group Inc | 2525 Court Dr, Gastonia, NC 28054-2140 |
| Adnan Ekram | Internal Medicine | Caromont Medical Group Inc | 2525 Court Dr, Gastonia, NC 28054-2140 |
| Dale C Davis | Certified Registered Nurse Anesthetist (crna) | East Carolina Anesthesia Associates Pllc | 2525 Court Dr, Gastonia, NC 28054-2140 |
| Chris B Nguyen | Pathology | Caromont Medical Group Inc | 2525 Court Dr, Gastonia, NC 28054-2140 |
| Demar A Neal Iii | General Surgery | Caromont Medical Group Inc | 2525 Court Dr, Gastonia, NC 28054-2140 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Albert Whitaker Jr. | Family Medicine | 224 S New Hope Rd K, Gastonia, NC 28054-0020 | |
| Leanne R King | Nurse Practitioner | Caromont Medical Group Inc | 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460 |
| Kirsten G D Amore | Physical Medicine and Rehabilitation | Caromont Medical Group Inc | 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460 |
| Emily B Rayfield | Nurse Practitioner | Caromont Medical Group Inc | 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460 |
| James E Harris Jr. | Physician Assistant | Caromont Medical Group Inc | 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460 |
| Julie C Cornwell | Nurse Practitioner | Caromont Medical Group Inc | 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460 |
| Lisa B Wilbanks | Nurse Practitioner | Caromont Medical Group Inc | 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460 |
| Rebecca H Brown | Family Practice | Caromont Medical Group Inc | 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460 |
| Nora D Paysour | Nurse Practitioner | Caromont Medical Group Inc | 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460 |
| Sharon L Heinrich | Nurse Practitioner | Hospice of Gaston County Inc | 258 E Garrison Blvd, Gastonia, NC 28054-0460 |
| Find all physicians in zip 28054 | |||
| City | GASTONIA |
| Zip Code | 28054 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | GASTONIA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Bryan J Barboza.
| 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.