Brantley Bernard Pace (NPI# 1851463707, PAC ID# 0941326987) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1851463707 |
| PAC ID by PECOS | 0941326987 |
| Professional Enrollment ID | I20100927001152 |
| Full Name | Brantley Bernard Pace |
| Address |
713 Watts St Monticello MS 39654-0518 |
| Phone Number | 6015877795 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 1958 |
| Primary Specialty | GENERAL PRACTICE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 251305 | LAWRENCE COUNTY HOSPITAL CAH |
| 250057 | KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN |
| 250001 | UNIVERSITY OF MISSISSIPPI MED CENTER |
| Address | Phone | Organization |
|---|---|---|
| 713 Watts St, Monticello, MS 39654-0518 | 6015877795 |
| Street Address |
713 WATTS ST |
| City | MONTICELLO |
| State | MS |
| Zip | 39654-0518 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry K Cruel | Podiatry | River Health Care LLC | 157 F E Sellers Hwy, Monticello, MS 39654 |
| Deontranese T Taylor | Nurse Practitioner | 314 Main St, Suite D, Monticello, MS 39654-3702 | |
| Greta L Keys | Nurse Practitioner | 1132 E Broad St, Monticello, MS 39654-7681 | |
| Patrick B Wood | Family Medicine | Southwest Mississippi Regional Medical Center | 1167 E Broad St, Monticello, MS 39654-7682 |
| Caron C Henderson | Nurse Practitioner | Wcs Professional Services of Mississippi, LLC | 1065 E Broad St, Lawrence Cnty Hosp, Monticello, MS 39654-7703 |
| Teresa Q Conerly | Nurse Practitioner | Family Health Care Clinic Inc | 430 W Broad St, Monticello, MS 39654-7723 |
| Rebecca Hussey Burris | Nurse Practitioner | 827 F E Sellers Hwy, Burris Medical Clinic, Monticello, MS 39654-9378 | |
| Richard G Burris | Family Medicine | 827 F E Sellers Hwy, Monticello, MS 39654-9378 |
| City | MONTICELLO |
| Zip Code | 39654 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | MONTICELLO + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Brantley Bernard Pace.
| 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.