Brian D Dieterle (NPI# 1518920412, PAC ID# 7416039474) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1518920412 |
| PAC ID by PECOS | 7416039474 |
| Professional Enrollment ID | I20080129000733 |
| Full Name | Brian D Dieterle |
| Address |
895 State Hwy 248 Branson MO 65616-3721 |
| Gender | M |
| Graduation Year | 1992 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260094 | COX MEDICAL CENTER BRANSON |
| 260040 | COX MEDICAL CENTERS |
| 260065 | MERCY HOSPITAL SPRINGFIELD |
| Address | Phone | Organization |
|---|---|---|
| 895 State Hwy 248, Branson, MO 65616-3721 |
| Street Address |
895 STATE HWY 248 |
| City | BRANSON |
| State | MO |
| Zip | 65616-3721 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Dawn Zabinski | Physician Assistant | Brian D Dieterle Md PC | 895 State Hwy 248, Branson, MO 65616-3721 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John W Huffman | Orthopedic Surgery | Skaggs Community Hospital Association | 121 Cahill Rd, Suite 206, Branson, MO 65616-1911 |
| James T Bonucchi | Endocrinology | Skaggs Community Hospital Association | 121 Cahill Rd, Suite 201, Branson, MO 65616-1911 |
| Mary Ann Geer | Nurse Practitioner | Skaggs Community Hospital Association | 121 Cahill Rd, Suite 204, Branson, MO 65616-1911 |
| Nicholas Anderson | Physical Medicine and Rehabilitation | Skaggs Community Hospital Association | 121 Cahill Rd, Suite 206, Branson, MO 65616-1911 |
| Gregory Havermale | Family Medicine | Skaggs Community Hospital Association | 121 Cahill Rd, Suite 206, Branson, MO 65616-1911 |
| Ashden M Vogler-blake | Nurse Practitioner | Skaggs Community Hospital Association | 121 Cahill Rd, Suite 204, Branson, MO 65616-1911 |
| Diane L Cornelison | Neurology | Skaggs Community Hospital Association | 121 Cahill Rd, Suite 204, Branson, MO 65616-1911 |
| Dusit Adstamongkonkul | Neurology | Skaggs Community Hospital Association | 121 Cahill Rd, Suite 204, Branson, MO 65616-1911 |
| Mark A Mandelbaum | Neurology | Skaggs Community Hospital Association | 121 Cahill Rd, Suite 204, Branson, MO 65616-1911 |
| Christopher Lintao Valencia | Neurology | Skaggs Community Hospital Association | 121 Cahill Rd, Suite 204, Branson, MO 65616-1911 |
| Find all physicians in zip 65616 | |||
| City | BRANSON |
| Zip Code | 65616 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BRANSON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Brian D Dieterle.
| 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.