Brad Richard Baker (NPI# 1760460422, PAC ID# 7618994922) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1760460422 |
PAC ID by PECOS | 7618994922 |
Professional Enrollment ID | I20051026000758 |
Full Name | Brad Richard Baker |
Organization Legal Name | LECELT, INC |
Address |
2133 Office Park Dr Suite A San Angelo TX 76904-6803 |
Phone Number | 3257036670 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON |
Graduation Year | 1986 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 2365713310 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
2133 Office Park Dr, Suite A, San Angelo, TX 76904-6803 | 3257036670 | LECELT, INC |
Organization Legal Name | LECELT, INC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jean Lynn Henrikson | Nurse Practitioner | Lecelt, Inc | 2133 Office Park Dr, Suite A, San Angelo, TX 76904-6803 |
Street Address |
2133 OFFICE PARK DR SUITE A |
City | SAN ANGELO |
State | TX |
Zip | 76904-6803 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jean Lynn Henrikson | Nurse Practitioner | Lecelt, Inc | 2133 Office Park Dr, Suite A, San Angelo, TX 76904-6803 |
Name | Specialty | Organization | Address |
---|---|---|---|
Edward L Grimes | Optometry | Shannon Clinic | 4450 Sunset Dr, San Angelo, TX 76904 |
Lance Pt Ayers | Physical Therapy | Shannon Clinic | 4450 Sunset Dr, San Angelo, TX 76904 |
Scott Westmoreland | Podiatry | Shannon Clinic | 4450 Sunset Dr, San Angelo, TX 76904 |
Milo D Anderson | Podiatry | Shannon Clinic | 4450 Sunset Dr, San Angelo, TX 76904 |
Amber Michelle Moreland | Gastroenterology | Shannon Clinic | 4450 Sunset Dr, San Angelo, TX 76904 |
Shun H Lui | Ophthalmology | Shannon Clinic | 4450 Sunset Dr, San Angelo, TX 76904 |
Shauna Owens | Physical Therapy | Shannon Clinic | 4450 Sunset Dr, San Angelo, TX 76904 |
Matthew A Goldman | Ophthalmology | Shannon Clinic | 4450 Sunset Dr, San Angelo, TX 76904 |
Eugene W Stokes | Gastroenterology | Shannon Clinic | 4450 Sunset Dr, San Angelo, TX 76904 |
Debra J Hamilton | Qualified Audiologist | Shannon Clinic | 4450 Sunset Dr, San Angelo, TX 76904 |
Find all physicians in zip 76904 |
City | SAN ANGELO |
Zip Code | 76904 |
Specialty | FAMILY MEDICINE |
City + Specialty | SAN ANGELO + FAMILY MEDICINE |
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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.