BRAHMA R KONDA, MD PC (NPI# 1306177720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306177720 |
| Entity Type | Organization |
| Organization Name | BRAHMA R KONDA, MD PC |
| Practice Address |
1314 10th St Silvis IL 61282-1892 |
| Mailing Address |
1314 10th St P O Box 245 Silvis IL 61282-1892 |
| Practice Telephone | 3097926770 |
| Practice Fax Number | 3097926772 |
| Mailing Telephone | 3097926770 |
| Mailing Fax Number | 3097926772 |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2010-01-25 |
| Authorized Official Name | BRAHMA R KONDA (PRESIDENT) |
| Authorized Official Telephone | 3097926770 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
036-101548 | IL | Ambulatory Health Care Facilities |
| Street Address |
1314 10TH ST |
| City | SILVIS |
| State | IL |
| Zip Code | 61282-1892 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497864334 | Susan Bull-welch | Counselor | 1314 10th St, Silvis, IL 61282-1892 | 2006-08-30 |
| 1538432075 | Dr. Dionisio Degracia Md Sc | Surgery | 1314 10th St, Silvis, IL 61282 | 2012-02-14 |
| 1437435195 | Transitions Nfp | Community/Behavioral Health | 1314 10th St, Silvis, IL 61282-1892 | 2011-10-26 |
| 1003961608 | School Health Link Inc | Public Health or Welfare | 1314 10th St, Silvis, IL 61282-1892 | 2007-01-24 |
| 1558473033 | Shirley Jean Williams | Nurse Practitioner | 1314 10th St, School Health Link, Silvis, IL 61282-1892 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174172605 | Phyllis Cunningham | Technician | 603 2nd Ave C, Silvis, IL 61282 | 2019-09-07 |
| 1710369400 | Krystle Lee Hergert | Dietitian, Registered | 2001 5th Street, Silvis, IL 61282 | 2015-06-18 |
| 1558549469 | Bobb Chiropractic Center P.C. | Chiropractor | 813 1st Avenue, Silvis, IL 61282 | 2008-02-01 |
| 1952509846 | Jennifer Marie Jensen | Pharmacist | 1601 18th St, Silvis, IL 61282 | 2007-07-03 |
| 1871516781 | Joseph R Yates | Emergency Medicine | 801 Illini Drive, Silvis, IL 61282 | 2006-07-25 |
| 1376581447 | Holly S Wilkinson | Physical Therapist | 902 Illini Drive, Silvis, IL 61282 | 2006-06-02 |
| 1831145507 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 1312 John Deere Expy, Silvis, IL 61282 | 2006-05-25 |
| 1194326017 | Paul Garner | Pharmacist | 2001 5th St, Silvis, IL 61282 | 2020-11-06 |
| 1366043291 | Karen Marie Garner | Pharmacist | 2001 5th Street, Silvis, IL 61282 | 2020-11-06 |
| 1659865848 | Njl Chiropractic | Clinic/Center | 813 1st Ave, Silvis, IL 61282 | 2018-06-20 |
| Find all providers in zip 61282 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1033699467 | Healthpointe Medical Center Sc | Clinic/Center | 530 Fullerton Rd Ste B, Swansea, IL 62226-2970 | 2018-08-15 |
| 1740794882 | Highland Park Cvs, L.L.C. | Clinic/Center | 72 Airport Plz, Bethalto, IL 62010-1774 | 2017-11-28 |
| 1447764014 | Dr Courtney Drendel Inc | Clinic/Center | 515 Hamilton St # 100, Geneva, IL 60134-2138 | 2017-11-19 |
| 1699206599 | David M Conner M.d. | Clinic/Center | 9 Executive Woods Ct Ste 2, Swansea, IL 62226-2016 | 2017-03-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.