Gwendolyn Ann Broyles (NPI# 1497282008, PAC ID# 6800134222) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1497282008 |
| PAC ID by PECOS | 6800134222 |
| Professional Enrollment ID | I20190211001497 |
| Full Name | Gwendolyn Ann Broyles |
| Organization Legal Name | NHC RELIANT PSYCHIATRIC SERVICES LLC |
| Address |
840 Passover Rd Osage Beach MO 65065-2834 |
| Phone Number | 5733020319 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2062649288 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 840 Passover Rd, Osage Beach, MO 65065-2834 | 5733020319 | NHC RELIANT PSYCHIATRIC SERVICES LLC |
| Organization Legal Name | NHC RELIANT PSYCHIATRIC SERVICES LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen S Hayes | Nurse Practitioner | Nhc Reliant Psychiatric Services LLC | 840 Passover Rd, Osage Beach, MO 65065-2834 |
| Jeannie M Carlton | Nurse Practitioner | Nhc Reliant Psychiatric Services LLC | 840 Passover Rd, Osage Beach, MO 65065-2834 |
| Christine A Livek | Family Medicine | Nhc Reliant Psychiatric Services LLC | 840 Passover Rd, Osage Beach, MO 65065-2834 |
| Laura M Thompson | Nurse Practitioner | Nhc Reliant Psychiatric Services LLC | 840 Passover Rd, Osage Beach, MO 65065-2834 |
| Kenneth J Fattmann | Psychiatry | Nhc Reliant Psychiatric Services LLC | 840 Passover Rd, Osage Beach, MO 65065-2834 |
| Glenna C Burton | Psychiatry | Nhc Reliant Psychiatric Services LLC | 840 Passover Rd, Osage Beach, MO 65065-2834 |
| Street Address |
840 PASSOVER RD |
| City | OSAGE BEACH |
| State | MO |
| Zip | 65065-2834 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen S Hayes | Nurse Practitioner | Nhc Reliant Psychiatric Services LLC | 840 Passover Rd, Osage Beach, MO 65065-2834 |
| Jeannie M Carlton | Nurse Practitioner | Nhc Reliant Psychiatric Services LLC | 840 Passover Rd, Osage Beach, MO 65065-2834 |
| Christine A Livek | Family Medicine | Nhc Reliant Psychiatric Services LLC | 840 Passover Rd, Osage Beach, MO 65065-2834 |
| Laura M Thompson | Nurse Practitioner | Nhc Reliant Psychiatric Services LLC | 840 Passover Rd, Osage Beach, MO 65065-2834 |
| Kenneth J Fattmann | Psychiatry | Nhc Reliant Psychiatric Services LLC | 840 Passover Rd, Osage Beach, MO 65065-2834 |
| Benny E Thomas | Family Practice | 840 Passover Rd, Osage Beach, MO 65065-2834 | |
| Glenna C Burton | Psychiatry | Nhc Reliant Psychiatric Services LLC | 840 Passover Rd, Osage Beach, MO 65065-2834 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela Foster | Chiropractic | 4681 Hwy 54 Kings Plz 6, Osage Beach, MO 65065 | |
| Charles H Pike Iii | Chiropractic | Pike Chiropractic | 4075 Osage Beach Pkwy, Suite 200, Osage Beach, MO 65065-2153 |
| Amy S Pike | Chiropractic | Pike Chiropractic | 4075 Osage Beach Pkwy, Suite 200, Osage Beach, MO 65065-2153 |
| Keith A Bonacquisti | Otolaryngology | Lake Regional Medical Management, Inc. | 1029 Nicholas Rd, 301 Lake Regional Ent and Audiology, Osage Beach, MO 65065-3008 |
| Kevin G Byrne | Internal Medicine | Lake Regional Medical Management, Inc. | 1029 Nichols Rd, 201 Lake Regional Gastroenterology, Osage Beach, MO 65065-3008 |
| Willis H Hoyt Iii | Otolaryngology | Jefferson City Medical Group PC | 1055 Ozark Care Dr, Suite A, Osage Beach, MO 65065-3016 |
| Douglas J Howland | Otolaryngology | Jefferson City Medical Group PC | 1055 Ozark Care Dr A, Ear Nose Throat and Sinus Surgery, Osage Beach, MO 65065-3016 |
| Michael J Simmons | Otolaryngology | Jefferson City Medical Group PC | 1055 Ozark Care Dr A, Ear Nose Throat and Sinus Surgery, Osage Beach, MO 65065-3016 |
| Reese E Thompson | Otolaryngology | Jefferson City Medical Group PC | 1055 Ozark Care Dr A, Ear Nose Throat and Sinus Surgery, Osage Beach, MO 65065-3016 |
| Michael L Mcclaughry | Physical Therapy | Active Care Physical Therapy and Spine Center, LLC | 5497 Osage Beach Pkwy A, Osage Beach, MO 65065-3026 |
| Find all physicians in zip 65065 | |||
| City | OSAGE BEACH |
| Zip Code | 65065 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | OSAGE BEACH + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Gwendolyn Ann Broyles.
| 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.