Charles E Bryan Jr. (NPI# 1649282575, PAC ID# 2264496363) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1649282575 |
| PAC ID by PECOS | 2264496363 |
| Professional Enrollment ID | I20041118000247 |
| Full Name | Charles E Bryan Jr. |
| Organization Legal Name | COFFEE EMERGENCY GROUP LLC |
| Address |
1101 Ocilla Rd Douglas GA 31533-2262 |
| Phone Number | 9123835641 |
| Gender | M |
| Credential | MD |
| Graduation Year | 2001 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 4880834050 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110003 | MAYO CLINIC HEALTH SYSTEM IN WAYCROSS |
| 110089 | COFFEE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1101 Ocilla Rd, Douglas, GA 31533-2262 | 9123835641 | COFFEE EMERGENCY GROUP LLC |
| Organization Legal Name | COFFEE EMERGENCY GROUP LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda Michelle Bixler | Nurse Practitioner | Coffee Emergency Group LLC | 1101 Ocilla Rd, Douglas, GA 31533-2262 |
| Thomas R Bair | Emergency Medicine | Coffee Emergency Group LLC | 1101 Ocilla Rd, Douglas, GA 31533-2262 |
| Marcie G Merritt | Nurse Practitioner | Coffee Emergency Group LLC | 1101 Ocilla Rd, Douglas, GA 31533-2262 |
| Jodi Rogers | Nurse Practitioner | Coffee Emergency Group LLC | 1101 Ocilla Rd, Douglas, GA 31533-2262 |
| Debra D Rathbun | Nurse Practitioner | Coffee Emergency Group LLC | 1101 Ocilla Rd, Douglas, GA 31533-2262 |
| Street Address |
1101 OCILLA RD |
| City | DOUGLAS |
| State | GA |
| Zip | 31533-2262 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Paul Ives | Anesthesiology | Coffee Regional Medical Center Inc | 1101 Ocilla Rd, Douglas, GA 31533-2207 |
| Nirandr Inthachak | Diagnostic Radiology | Radiology Assoc of South Ga, P.C. | 1101 Ocilla Rd, Douglas, GA 30533-1287 |
| Krishnan Arunachalam | Internal Medicine | Coffee Regional Medical Center Inc | 1101 Ocilla Rd, Douglas, GA 31533-2207 |
| Dennis C Harper | Internal Medicine | Coffee County Hospitalist Physicians LLC | 1101 Ocilla Rd, Douglas, GA 31533-2207 |
| Somnuk Pow Anpongkul | Diagnostic Radiology | Radiology Assoc of South Ga, P.C. | 1101 Ocilla Rd, Douglas, GA 30533-1287 |
| Linda Michelle Bixler | Nurse Practitioner | Coffee Emergency Group LLC | 1101 Ocilla Rd, Douglas, GA 31533-2262 |
| Christopher M Jones | Anesthesiology | Coffee Regional Medical Center Inc | 1101 Ocilla Rd, Douglas, GA 31533-2207 |
| John B Abell | Internal Medicine | Coffee County Hospitalist Physicians LLC | 1101 Ocilla Rd, Douglas, GA 31533-2207 |
| Anil H Nair | Internal Medicine | Coffee County Hospitalist Physicians LLC | 1101 Ocilla Rd, Douglas, GA 31533-2207 |
| Pravin K Jain | Anesthesiology | Coffee Regional Medical Center Inc | 1101 Ocilla Rd, Douglas, GA 31533-2207 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Henry Randall Sheffield | Chiropractic | 410 Ward E St, Douglas, GA 31533-0001 | |
| Heather Cason Carver | Registered Dietitian Or Nutrition Professional | 204 Gaskin Ave N, Douglas, GA 31533-0400 | |
| Thaihang Nguyen | Family Medicine | Crh Physician Practices, LLC | 1100 Ward St W Ext, Douglas, GA 31533-1902 |
| Stephen R Miller | Physical Therapy | 1150 W Ward St Extension, Suite B1, Douglas, GA 31533-1902 | |
| Chester Theo Royals Jr. | General Surgery | Crh Physician Practices, LLC | 1100 Ward St W Ext, Douglas, GA 31533-1902 |
| Joel W Ferree | Cardiovascular Disease (cardiology) | Crh Physician Practices, LLC | 1100 Ward St W Ext, Douglas, GA 31533-1902 |
| Alfred W Mazur | Urology | Crh Physician Practices, LLC | 1100 Ward St W Ext, Douglas, GA 31533-1902 |
| Jesse Allen Kane | Obstetrics/gynecology | Crh Physician Practices, LLC | 1100 Ward St W Ext, Douglas, GA 31533-1902 |
| Kimberly E Lott | Physician Assistant | Crh Physician Practices, LLC | 1100 Ward St W Ext, Douglas, GA 31533-1902 |
| Amanda Bice | Nurse Practitioner | Crh Physician Practices, LLC | 1100 Ward St W Ext, Douglas, GA 31533-1902 |
| Find all physicians in zip 31533 | |||
| City | DOUGLAS |
| Zip Code | 31533 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | DOUGLAS + EMERGENCY 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.