Bruce Howard Brennaman (NPI# 1578535563, PAC ID# 9234324898) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
| Nation Provider ID (NPI) | 1578535563 |
| PAC ID by PECOS | 9234324898 |
| Professional Enrollment ID | I20101202000561 |
| Full Name | Bruce Howard Brennaman |
| Organization Legal Name | COLUMBUS AMBULATORY HEALTHCARE SERVICES, INC. |
| Address |
920 18th St Columbus GA 31901-1524 |
| Phone Number | 7066496600 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1980 |
| Primary Specialty | VASCULAR SURGERY |
| Group Practice PAC ID | 1355244385 |
| Number of Group Practice Members | 85 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110064 | MIDTOWN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1800 10th Ave, Columbus, GA 31901-1529 | 7065711120 | COLUMBUS AMBULATORY HEALTHCARE SERVICES, INC. |
| 710 Ctr St, Suite 110, Columbus, GA 31901-1527 | 7065711454 | COLUMBUS AMBULATORY HEALTHCARE SERVICES, INC. |
| 920 18th St, Columbus, GA 31901-1524 | 7066496600 | COLUMBUS AMBULATORY HEALTHCARE SERVICES, INC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | COLUMBUS AMBULATORY HEALTHCARE SERVICES, INC. |
| Physicians | 98 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Franklin Rains | Physician Assistant | Columbus Ambulatory Healthcare Services, Inc. | 1810 Stadium Dr, Suite 240, Phenix City, AL 36867-3179 |
| Meagan Elizabeth Mahoney | General Surgery | Columbus Ambulatory Healthcare Services, Inc. | 920 18th St, Columbus, GA 31901-1524 |
| Joshua Samraj | Internal Medicine | Columbus Ambulatory Healthcare Services, Inc. | 2737 Warm Springs Rd, Suite B and C, Columbus, GA 31904-5328 |
| Juanita Jones | Nurse Practitioner | Columbus Ambulatory Healthcare Services, Inc. | 5009 Riverchase Dr, Suite 500, Phenix City, AL 36867-7490 |
| Sheena Sweeney | Family Medicine | Columbus Ambulatory Healthcare Services, Inc. | 7830 Veterans Pkwy H, Columbus, GA 31909-4973 |
| Karen Secor | Physician Assistant | Columbus Ambulatory Healthcare Services, Inc. | 39 Oak Hill Ct, Bldg C, Newnan, GA 30265-2392 |
| Lauren M Villegas | Nurse Practitioner | Columbus Ambulatory Healthcare Services, Inc. | 1800 10th Ave, Columbus, GA 31901-1529 |
| Tara Newman Smith | Nurse Practitioner | Columbus Ambulatory Healthcare Services, Inc. | 705 17th St, Columbus, GA 31901-3504 |
| Jessi L Hale | Nurse Practitioner | Columbus Ambulatory Healthcare Services, Inc. | 6801 River Rd, Suite 101, Columbus, GA 31904-3353 |
| Brooke D Bozek | Physician Assistant | Columbus Ambulatory Healthcare Services, Inc. | 707 Ctr St, Columbus, GA 31901-1575 |
| Street Address |
920 18TH ST |
| City | COLUMBUS |
| State | GA |
| Zip | 31901-1524 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meagan Elizabeth Mahoney | General Surgery | Columbus Ambulatory Healthcare Services, Inc. | 920 18th St, Columbus, GA 31901-1524 |
| Homer T Keadle Iii | Vascular Surgery | Columbus Ambulatory Healthcare Services, Inc. | 920 18th St, Columbus, GA 31901-1524 |
| Robert A Jenks | General Surgery | Columbus Ambulatory Healthcare Services, Inc. | 920 18th St, Columbus, GA 31901-1524 |
| Sandra K Kelley | Nurse Practitioner | Columbus Ambulatory Healthcare Services, Inc. | 920 18th St, Columbus, GA 31901-1524 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas N Malone | Obstetrics/gynecology | Thomas N. Malone M.d. P.C. | 2039 10th Ave, Columbus, GA 31901-1459 |
| Thomas M Malone | Obstetrics/gynecology | Thomas N. Malone M.d. P.C. | 2039 10th Ave, Columbus, GA 31901-1459 |
| Steven L Henslee | Ophthalmology | West Georgia Eye Care Center,p.a. | 2012 10th Ave, Columbus, GA 31901-1460 |
| Saba Gilani | Diagnostic Radiology | Columbus Diagnostic Center Inc | 2040 Tenth Ave, Columbus, GA 31901-1461 |
| Nishant M Dequadros | Diagnostic Radiology | Columbus Diagnostic Center Inc | 2040 10th Ave, Columbus, GA 31901-1461 |
| Regino P Cube | Diagnostic Radiology | Columbus Diagnostic Center Inc | 2040 10th Ave, Columbus, GA 31901-1461 |
| George M Benashvili | Diagnostic Radiology | Columbus Diagnostic Center Inc | 2040 10th Ave, Columbus, GA 31901-1461 |
| Tiffany S Overstreet | Diagnostic Radiology | Columbus Diagnostic Center Inc | 2040 10th Ave, Columbus, GA 31901-1461 |
| Richard J Mckibben | Physical Therapy | Columbus Diagnostic Center Inc | 2040 10th Ave, Columbus, GA 31901-1461 |
| Samuel Osei-bonsu | Diagnostic Radiology | Columbus Diagnostic Center Inc | 2040 10th Ave, Columbus, GA 31901-1461 |
| Find all physicians in zip 31901 | |||
| City | COLUMBUS |
| Zip Code | 31901 |
| Specialty | VASCULAR SURGERY |
| City + Specialty | COLUMBUS + VASCULAR SURGERY |
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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.