Kent Braeutigam (NPI# 1063437861, PAC ID# 0345147690) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1063437861 |
| PAC ID by PECOS | 0345147690 |
| Professional Enrollment ID | I20100315000113 |
| Full Name | Kent Braeutigam |
| Organization Legal Name | PHYSICIANS GROUP SERVICES PA |
| Address |
3839 County Rd Suite 218 Middleburg FL 32068-5708 |
| Gender | M |
| Graduation Year | 1985 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1254238579 |
| Number of Group Practice Members | 73 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100321 | ST VINCENTS MEDICAL CENTER - CLAY COUNTY |
| 100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| 100226 | ORANGE PARK MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3839 County Rd, Suite 218, Middleburg, FL 32068-5708 | PHYSICIANS GROUP SERVICES PA | |
| 1409 Kingsley Ave, Suite 6a, Orange Park, FL 32073-4592 | 9042647517 | PHYSICIANS GROUP SERVICES PA |
| 421 Kingsley Ave, Orange Park, FL 32073-4898 | PHYSICIANS GROUP SERVICES PA |
| Organization Legal Name | PHYSICIANS GROUP SERVICES PA |
| Physicians | 80 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia Correa-cedeno | Podiatry | Physicians Group Services Pa | 1821 Blanding Blvd, Suite 1, Middleburg, FL 32068-3839 |
| Megan E Andersen | Nurse Practitioner | Physicians Group Services Pa | 10250 Normandy Blvd, Unit 802, Jacksonville, FL 32221-8064 |
| Katarina A Devault | Nurse Practitioner | Physicians Group Services Pa | 2726 Saint Johns Ave, Suite 101, Jacksonville, FL 32205-8258 |
| Renee A Gallo | Pain Management | Physicians Group Services Pa | 1564 Kingsley Ave, Suite 300, Orange Park, FL 32073-4521 |
| Andrea M Patterson | Nurse Practitioner | Physicians Group Services Pa | 1906 Southside Blvd, Jacksonville, FL 32216-1930 |
| Christine Kay Turner | Nurse Practitioner | Physicians Group Services Pa | 1865 Lime St, Suite 101, Fernandina Beach, FL 32034-4779 |
| Michael A Edwards | Family Medicine | Physicians Group Services Pa | 421 Kingsley Ave, Suite 401, Orange Park, FL 32073-4898 |
| Peter Perry | Physician Assistant | Physicians Group Services Pa | 1409 Kingsley Ave, Suite 6a, Orange Park, FL 32073-4592 |
| James Shields | Anesthesiology | Physicians Group Services Pa | 309 Arnow Dr, Saint Marys, GA 31558-3176 |
| Patrick J Burns | Interventional Pain Management | Physicians Group Services Pa | 2700 Riverside Ave, Suite 2, Jacksonville, FL 32205-8233 |
| Street Address |
3839 COUNTY RD SUITE 218 |
| City | MIDDLEBURG |
| State | FL |
| Zip | 32068-5708 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Casey L Todd | Nurse Practitioner | Physicians Group Services Pa | 3839 County Rd, Suite 218, Middleburg, FL 32068-5708 |
| Heather Pauline Bennett | Nurse Practitioner | Physicians Group Services Pa | 3839 County Rd, Suite 218, Middleburg, FL 32068-5708 |
| Benjamin W Goh | Family Medicine | Physicians Group Services Pa | 3839 County Rd, Suite 218, Middleburg, FL 32068-5708 |
| Amanda G Adams | Nurse Practitioner | Physicians Group Services Pa | 3839 County Rd, Suite 218, Middleburg, FL 32068-5708 |
| Mary J Sutherland | Physician Assistant | Physicians Group Services Pa | 3839 County Rd, Suite 218, Middleburg, FL 32068-5708 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary E Brown | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| Christopher D Roman | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| Vanessa Seiglie Quinones | Internal Medicine | Mcci Group Holdings LLC | 1786 Blanding Blvd, Suite 3, Middleburg, FL 32068-3804 |
| Elizabeth A Bathala | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| James Wesley Carter | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| James M Russell | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| Alicia M Rivera | Nurse Practitioner | Mcci Group Holdings LLC | 1786 Blanding Blvd, Suite 3, Middleburg, FL 32068-3804 |
| Paul Byra | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| Kardelina Diaz | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| Michelle N Waters | Nurse Practitioner | Mcci Group Holdings LLC | 1786 Blanding Blvd, Suite 3, Middleburg, FL 32068-3804 |
| Find all physicians in zip 32068 | |||
| City | MIDDLEBURG |
| Zip Code | 32068 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MIDDLEBURG + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kent Braeutigam.
| 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.