Edward John Brandecker in Abilene - Physical Medicine & Rehabilitation

Edward John Brandecker - NPI 1992700413

Edward John Brandecker is a Physical Medicine & Rehabilitation in Abilene, Texas. Edward John Brandecker practices all healthcare services and medical treatments related to Physical Medicine & Rehabilitation. The NPI Number for Edward John Brandecker is 1992700413. The last update date is 2012-09-25.

Edward John Brandecker's current location address is 1888 Antilley Rd, Abilene, Texas. You can contact this provider via phone number 3257959550 and fax number 3257959537. The mailing address for Edward John Brandecker is 1888 Antilley Rd, Abilene, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Edward John Brandecker
Address 1888 Antilley Rd, Abilene, Texas
Phone Number 3257959550
Fax Number 3257959537
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1992700413
Provider Enumeration Date 2005-06-21
Last Updated Date 2012-09-25

Provider Mailing Address Detail

Address 1888 Antilley Rd
City Abilene
State Texas (TX)
Post Code 7960652050
Phone Number 3257959550
Fax Number 3257959537

Provider's Primary Taxonomy Detail

Speciality Physical Medicine & Rehabilitation
Taxonomy 208100000X
Licence No J2508
Definition:
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affectin

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4223641 AETNA
8X7151 TX BCBS/ADC
102408501 TX --
109067104 TX FIRSTCARE/ADC
81T422 BCBS
102408503 TX MEDICAID/ADC
109067100 FIRSTCARE
CR1046 TX MCR RXR
250003414 MEDICARE RR

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FAQs about Edward John Brandecker

What is the unique 10-digit identification code assigned to Edward John Brandecker by the Centers for Medicare & Medicaid Services?

The Edward John Brandecker has been issued the NPI (National Provider Identifier) 1992700413, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Edward John Brandecker is physically located?

The Edward John Brandecker is physically situated at the following address: 1888 Antilley Rd, Abilene, TX, 7960652050.

What is Edward John Brandecker's specialized field of practice, and what is the corresponding taxonomy classification code?

The Edward John Brandecker's area of specialization is Physical Medicine & Rehabilitation, and the corresponding taxonomy code that categorizes this field of practice is 208100000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1992700413 to Edward John Brandecker?

The Centers for Medicare & Medicaid Services assigned the 1992700413 to Edward John Brandecker on 2005-06-21.

When was the information regarding Edward John Brandecker most recently updated?

The details pertaining to the Edward John Brandecker, including its address, specialty, and other relevant information, were last refreshed on 2012-09-25.

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