Derek Christopher Braddix (NPI# 1588110480, PAC ID# 8729360755) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1588110480 |
| PAC ID by PECOS | 8729360755 |
| Professional Enrollment ID | I20170126000846 |
| Full Name | Derek Christopher Braddix |
| Organization Legal Name | GARY C RIDENOUR MD A PROF CORP |
| Address |
2152 Reno Hwy Suite I Fallon NV 89406-2692 |
| Phone Number | 7754236400 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0749360907 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 291313 | BANNER CHURCHILL COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2152 Reno Hwy, Suite I, Fallon, NV 89406-2692 | 7754236400 | GARY C RIDENOUR MD A PROF CORP |
| Organization Legal Name | GARY C RIDENOUR MD A PROF CORP |
| Physicians | 1 |
| Street Address |
2152 RENO HWY SUITE I |
| City | FALLON |
| State | NV |
| Zip | 89406-2692 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary C Ridenour | Internal Medicine | 2152 Reno Hwy, Suite I, Fallon, NV 89406-2692 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin L Heath | Family Medicine | 50 Commercial Way, Fallon, NV 89406-2600 | |
| Rodney D Stewart | Physical Therapy | 2180 Reno Hwy, Fallon, NV 89406-2629 | |
| Steven Edward Louie | Physical Therapy | 1680 W Williams Ave, Fallon, NV 89406-2644 | |
| David B Chaffin | Ophthalmology | David B Chaffin Md PC | 65 N Taylor St, Fallon, NV 89406-2750 |
| Gregory Koenig | Optometry | Robertson and Koenig Ltd | 65 N Taylor St, Fallon, NV 89406-2750 |
| Carl D Robertson | Optometry | Robertson and Koenig Ltd | 65 N Taylor St, Fallon, NV 89406-2750 |
| Steve H Chang | Ophthalmology | David B Chaffin Md PC | 65 N Taylor St, Fallon, NV 89406-2750 |
| Mark E Mueller | Emergency Medicine | Team Physicians of Nevada-mandavia PC | 801 E Williams Ave, Fallon, NV 89406-2797 |
| Ja-lynn Kuo | Emergency Medicine | Team Physicians of Nevada-mandavia PC | 801 E Williams Ave, Fallon, NV 89406-2797 |
| Lance Mathew Dickey | Emergency Medicine | Team Physicians of Nevada-mandavia PC | 801 E Williams Ave, Fallon, NV 89406-2797 |
| Find all physicians in zip 89406 | |||
| City | FALLON |
| Zip Code | 89406 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FALLON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Derek Christopher Braddix.
| 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.