Brady R Walker (NPI# 1346300530, PAC ID# 8628033131) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1346300530 |
| PAC ID by PECOS | 8628033131 |
| Professional Enrollment ID | I20041124000048 |
| Full Name | Brady R Walker |
| Organization Legal Name | OREGON UROLOGY INSTITUTE PC |
| Address |
1441 7th Ave A Florence OR 97439 |
| Phone Number | 5413343350 |
| Gender | M |
| Credential | MD |
| Medical School | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 6608766399 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 381316 | PEACE HARBOR MEDICAL CENTER |
| 380102 | SACRED HEART MEDICAL CENTER - RIVERBEND |
| 380027 | MERCY MEDICAL CENTER |
| 381301 | PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER |
| 381311 | LOWER UMPQUA HOSPITAL DISTRICT |
| Address | Phone | Organization |
|---|---|---|
| 1441 7th Ave A, Florence, OR 97439 | 5413343350 | OREGON UROLOGY INSTITUTE PC |
| 2400 Hartman Ln, Springfield, OR 97477-1118 | 5413343350 | OREGON UROLOGY INSTITUTE PC |
| Organization Legal Name | OREGON UROLOGY INSTITUTE PC |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey B Woolsey | Urology | Oregon Urology Institute PC | 341 Medical Loop, Suite 100, Roseburg, OR 97470 |
| Angela E Watson | Physician Assistant | Oregon Urology Institute PC | 2400 Hartman Ln, Springfield, OR 97477-1118 |
| David N Esrig | Urology | Oregon Urology Institute PC | 1441 7th Ave A, Florence, OR 97439 |
| Victoria Ann Waltz | Physician Assistant | Oregon Urology Institute PC | 2400 Hartman Ln, Springfield, OR 97477-1118 |
| Annabel H Chen | Physician Assistant | Oregon Urology Institute PC | 2400 Hartman Ln, Springfield, OR 97477-1118 |
| Jessica Catherine Lloyd | Urology | Oregon Urology Institute PC | 2400 Hartman Ln, Springfield, OR 97477-1118 |
| David S Dimarco | Urology | Oregon Urology Institute PC | 2400 Hartman Ln, Springfield, OR 97477-1118 |
| Christopher C Kyle | Urology | Oregon Urology Institute PC | 341 Medical Loop, Suite 100, Roseburg, OR 97470 |
| Richard S Nile | Physician Assistant | Oregon Urology Institute PC | 2400 Hartman Ln, Springfield, OR 97477-1118 |
| Dawn M Bodell | Urology | Oregon Urology Institute PC | 2400 Hartman Ln, Springfield, OR 97477-1118 |
| Street Address |
1441 7TH AVE A |
| City | FLORENCE |
| State | OR |
| Zip | 97439 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David N Esrig | Urology | Oregon Urology Institute PC | 1441 7th Ave A, Florence, OR 97439 |
| Thomas A Kollmorgen | Urology | Oregon Urology Institute PC | 1441 7th Ave A, Florence, OR 97439 |
| Bryan A Mehlhaff | Urology | Oregon Urology Institute PC | 1441 7th Ave A, Florence, OR 97439 |
| Roger M Mckimmy | Urology | Oregon Urology Institute PC | 1441 7th Ave A, Florence, OR 97439 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda M Bono | Nurse Practitioner | Icco LLC | 4480 Hwy 101 N, Florence, OR 97439 |
| Teresa Faillace | Clinical Social Worker | 1932 Pine St, Suite B 3, Florence, OR 97439-4705 | |
| Justin Thomas Mans | Optometry | Raymond G Mans Od PC | 535 9th St, Florence, OR 97439-7388 |
| Julie A.c. Kittock | Optometry | Raymond G Mans Od PC | 535 9th St, Florence, OR 97439-7388 |
| Robert A Mans | Optometry | Raymond G Mans Od PC | 535 9th St, Florence, OR 97439-7388 |
| Jordan Marie Raymer | General Surgery | Peacehealth | 400 9th St, Florence, OR 97439-7398 |
| Aaron K Holmes | Family Medicine | Peacehealth | 400 9th St, Florence, OR 97439-7398 |
| Christy A Horton | Internal Medicine | Peacehealth | 400 9th St, Florence, OR 97439-7398 |
| Stephen S Kerner | Family Medicine | Peacehealth | 400 9th St, Florence, OR 97439-7398 |
| Grant Md Mcclune | General Surgery | Peacehealth | 400 9th St, Florence, OR 97439-7398 |
| Find all physicians in zip 97439 | |||
| City | FLORENCE |
| Zip Code | 97439 |
| Specialty | UROLOGY |
| City + Specialty | FLORENCE + UROLOGY |
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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.