Brandi L Boller (NPI# 1528034683, PAC ID# 6901871565) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1528034683 |
| PAC ID by PECOS | 6901871565 |
| Professional Enrollment ID | I20040827000993 |
| Full Name | Brandi L Boller |
| Address |
11 W Pkwy Blvd Liberal KS 67901-2081 |
| Gender | F |
| Credential | DO |
| Graduation Year | 2004 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170068 | SOUTHWEST MEDICAL CENTER |
| 170023 | ST CATHERINE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 11 W Pkwy Blvd, Liberal, KS 67901-2081 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
11 W PKWY BLVD |
| City | LIBERAL |
| State | KS |
| Zip | 67901-2081 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suhail A Ansari | Orthopedic Surgery | 2138 N Kansas Ave, Liberal, KS 67901-2012 | |
| Steven Douglas Graham | Optometry | Vision Source of Liberal Inc | 2136 N Kansas Ave, Liberal Kansas, KS 67901-2012 |
| Rhiannon Radcliff | Optometry | Vision Source of Liberal Inc | 2136 N Kansas Ave, Liberal Kansas, KS 67901-2012 |
| Elizabeth Ann Fieser | Optometry | Jury, Farrar and Associates, Doctors of Optometry, Pa | 2381 N Kansas Ave, Liberal, KS 67901-2055 |
| James S Jury | Optometry | Jury, Farrar and Associates, Doctors of Optometry, Pa | 2381 N Kansas Ave, Liberal, KS 67901-2055 |
| Ryan R Farrar | Optometry | Jury, Farrar and Associates, Doctors of Optometry, Pa | 2381 N Kansas Ave, Liberal, KS 67901-2055 |
| Molly Rachow | Physical Therapy | 111 Lilac Dr, Liberal, KS 67901-2058 | |
| Michael J Fulton | Optometry | 250 E Tucker Rd, Suite B, Liberal, KS 67901-2188 | |
| Varinder S Gill | Internal Medicine | 111 E Tucker Rd, Suite F, Liberal, KS 67901-2191 | |
| Dora L Davis | Optometry | 1401 W, 15th, Liberal, KS 67901-2275 | |
| Find all physicians in zip 67901 | |||
| City | LIBERAL |
| Zip Code | 67901 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LIBERAL + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Brandi L Boller.
| 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.