Bryan Charles Siegfried (NPI# 1366453466, PAC ID# 7517901903) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PEDIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1366453466 |
| PAC ID by PECOS | 7517901903 |
| Professional Enrollment ID | I20050617000139 |
| Full Name | Bryan Charles Siegfried |
| Organization Legal Name | STAUNTON CLINIC LLC |
| Address |
444 N Edwardsville St Staunton IL 62088-1334 |
| Phone Number | 6186353800701 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1998 |
| Primary Specialty | PEDIATRIC MEDICINE |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 1557305943 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 141306 | COMMUNITY MEMORIAL HOSPITAL |
| 141350 | ST FRANCIS HOSPITAL |
| 140289 | ANDERSON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 444 N Edwardsville St, Staunton, IL 62088-1334 | 6186353800701 | STAUNTON CLINIC LLC |
| Organization Legal Name | STAUNTON CLINIC LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Manish Mathur | Internal Medicine | Staunton Clinic LLC | 444 N Edwardsville St, Staunton, IL 62088-1334 |
| Rajneesh S Jain | Internal Medicine | Staunton Clinic LLC | 444 N Edwardsville St, Staunton, IL 62088-1334 |
| Street Address |
444 N EDWARDSVILLE ST |
| City | STAUNTON |
| State | IL |
| Zip | 62088-1334 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Manish Mathur | Internal Medicine | Staunton Clinic LLC | 444 N Edwardsville St, Staunton, IL 62088-1334 |
| Rajneesh S Jain | Internal Medicine | Staunton Clinic LLC | 444 N Edwardsville St, Staunton, IL 62088-1334 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David R Peterson | Emergency Medicine | Illinois Emergency Physicians LLP | 400 N Caldwell St, Staunton, IL 62088-1173 |
| Anne Leslie Kramer | Nurse Practitioner | Illinois Emergency Physicians LLP | 400 N Caldwell St, Staunton, IL 62088-1173 |
| Richard C Bell | Dermatology | Associates In Dermatology and Cutaneous Surgery Ltd | 400 N Caldwell St, Staunton, IL 62088-1173 |
| Sherry A Tindall | Nurse Practitioner | St Louis Heart and Vascular PC | 400 N Caldwell St, Staunton, IL 62088-1173 |
| Amanda N Ventimiglia | Nurse Practitioner | St Louis Heart and Vascular PC | 400 N Caldwell St, Staunton, IL 62088-1173 |
| Jeffrey David Roller | Chiropractic | 426 W Pearl St, Staunton, IL 62088-1313 | |
| Joshua D Poos | Family Medicine | Community Memorial Hospital Association | 400 N Caldwell St, Staunton, IL 62088-1423 |
| Mark Alan Savage | Family Medicine | Community Memorial Hospital Association | 400 N Caldwell St, Staunton, IL 62088-1423 |
| Richard F Schock Ii | Family Practice | Community Memorial Hospital Association | 400 N Caldwell St, Staunton, IL 62088-1423 |
| Danilo M Ofreneo | Emergency Medicine | Community Memorial Hospital Association | 400 N Caldwell St, Staunton, IL 62088-1423 |
| Find all physicians in zip 62088 | |||
| City | STAUNTON |
| Zip Code | 62088 |
| Specialty | PEDIATRIC MEDICINE |
| City + Specialty | STAUNTON + PEDIATRIC MEDICINE |
Please comment or provide details below to improve the information on Bryan Charles Siegfried.
| 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.