Bryan Phillip Hendren (NPI# 1063730083, PAC ID# 3173818804) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1063730083 |
| PAC ID by PECOS | 3173818804 |
| Professional Enrollment ID | I20181218003219 |
| Full Name | Bryan Phillip Hendren |
| Organization Legal Name | JOSEPH M STILL BURN CENTERS INC |
| Address |
3647 J Dewey Gray Cir Suite 200 Augusta GA 30909-2205 |
| Phone Number | 7065049712 |
| Gender | M |
| Medical School | WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | GENERAL SURGERY |
| Secondary Specialties | CRITICAL CARE (INTENSIVISTS) |
| Group Practice PAC ID | 7618963638 |
| Number of Group Practice Members | 70 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110028 | UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1430 Harper St, Suite B, Augusta, GA 30901-0619 | 7067245451 | AUGUSTA SURGICAL GROUP, P.C. |
| 3647 J Dewey Gray Cir, Suite 200, Augusta, GA 30909-2205 | 7065049712 | JOSEPH M STILL BURN CENTERS INC |
| 3651 Wheeler Rd, Augusta, GA 30909-6521 | 7068639595 | JOSEPH M STILL BURN CENTERS INC |
| Organization Legal Name | JOSEPH M STILL BURN CENTERS INC |
| Physicians | 72 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Kathryn Boggs | General Surgery | Joseph M Still Burn Centers Inc | 3647 J Dewey Gray Cir, Suite 200, Augusta, GA 30909-2205 |
| John George Rumbaugh | Family Medicine | Joseph M Still Burn Centers Inc | 3675 J Dewey Gray Cir, Suite 300, Augusta, GA 30909-1868 |
| William C Lineaweaver | Plastic and Reconstructive Surgery | Joseph M Still Burn Centers Inc | 1850 Chadwick Dr, Jackson, MS 39204-3404 |
| Lauren Michelle Cannon | Physician Assistant | Joseph M Still Burn Centers Inc | 3950 Austell Rd, Austell, GA 30106-1121 |
| Piotr Pawel Skowronski | Plastic and Reconstructive Surgery | Joseph M Still Burn Centers Inc | 3675 J Dewey Gray Cir, Suite 300, Augusta, GA 30909-1868 |
| Elizabeth Donaldson | Physician Assistant | Joseph M Still Burn Centers Inc | 3950 Austell Rd, Austell, GA 30106-1121 |
| Callie W Carter | Physician Assistant | Joseph M Still Burn Centers Inc | 3950 Austell Rd, Austell, GA 30106-1121 |
| Angela Boyd | Nurse Practitioner | Joseph M Still Burn Centers Inc | 1850 Chadwick Dr, Jackson, MS 39204-3404 |
| S.m.a Zaheed Hassan | Plastic and Reconstructive Surgery | Joseph M Still Burn Centers Inc | 3950 Austell Rd, Austell, GA 30106-1121 |
| Rachel Catherine Steyer | Physician Assistant | Joseph M Still Burn Centers Inc | 3950 Austell Rd, Austell, GA 30106-1121 |
| Street Address |
3647 J DEWEY GRAY CIR SUITE 200 |
| City | AUGUSTA |
| State | GA |
| Zip | 30909-2205 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Kathryn Boggs | General Surgery | Joseph M Still Burn Centers Inc | 3647 J Dewey Gray Cir, Suite 200, Augusta, GA 30909-2205 |
| Jennifer Key | Nurse Practitioner | Joseph M Still Burn Centers Inc | 3647 J Dewey Gray Cir, Suite 200, Augusta, GA 30909-2205 |
| Cynthia A Marshall | Nurse Practitioner | Joseph M Still Burn Centers Inc | 3647 J Dewey Gray Cir, Suite 200, Augusta, GA 30909-2205 |
| Jeanne Ann Haid | Nurse Practitioner | Joseph M Still Burn Centers Inc | 3647 J Dewey Gray Cir, Suite 200, Augusta, GA 30909-2205 |
| Christopher S Hogan | General Surgery | Joseph M Still Burn Centers Inc | 3647 J Dewey Gray Cir, Suite 200, Augusta, GA 30909-2205 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan E Reimer | Family Medicine | 1224 Augusta W Pkwy, Augusta, GA 30909 | |
| Kent M Plowman | Interventional Pain Management | Stephens Clinic, LLC | 1109 Medical Ctr Dr, Suite 8a, Augusta, GA 30909 |
| Edgar R Bohannon | Qualified Audiologist | Augusta Hearing and Balance | 1215 A George Wilson, Suite 3, Augusta, GA 30909 |
| Tarak V Patel | Infectious Disease | 1224 Augusta W Pkwy, Augusta, GA 30909 | |
| Russell L Stephens | Anesthesiology | Stephens Clinic, LLC | 1109 Medical Ctr Dr, Suite 8a, Augusta, GA 30909 |
| Amanda S Battey | Qualified Audiologist | Augusta Hearing and Balance | 1215 A George Wilson, Suite 3, Augusta, GA 30909 |
| Rebecca B Hopkins | Audiologist | Augusta Hearing and Balance | 1215 A George Wilson, Augusta, GA 30909 |
| Dale Patrick | Optometry | Vision Partners, Inc. | 3450 Wrightsboro Rd, Suite 1325, Augusta, GA 30909-0566 |
| George Herman Hamiter Iii | Optometry | Vision Partners, Inc. | 3450 Wrightsboro Rd, Suite 1325, Augusta, GA 30909-0566 |
| Miguel Angel Bosch | Optometry | Vision Partners, Inc. | 3450 Wrightsboro Rd, Suite 1325, Augusta, GA 30909-0566 |
| Find all physicians in zip 30909 | |||
| City | AUGUSTA |
| Zip Code | 30909 |
| Specialty | GENERAL SURGERY |
| City + Specialty | AUGUSTA + GENERAL 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.