MEDICARE: DR. BRENDA JO KOWALSKE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	35940	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710185889
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRENDA JO KOWALSKE M.D.

Provider Business Mailing Address
First Line	:	1715 CLEVELAND HWY
Second Line	:
City	:	GAINESVILLE
State	:	GA
Zip	:	30501-1357
Country	:	US
Telephone Number	:	404-276-7358
Fax Number	:

Provider Business Practice Location Address
First Line	:	1715 CLEVELAND HWY
Second Line	:
City	:	GAINESVILLE
State	:	GA
Zip	:	30501-1357
Country	:	US
Telephone Number	:	404-276-7358
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2007
Last Update Date	:	03/07/2023

Similar Medicare Providers

1033573266 — ANNA MERCADO SANCHEZ CNP
Practice Location Address:

200 WISTERIA DR
GAINESVILLE, GA
30501-3827

Practice Phone: 770-219-5407
Practice Fax: 770-219-7102

1881450039 — AMY LATHEM NP
Practice Location Address:

743 SPRING ST NE
GAINESVILLE, GA
30501-3899

Practice Phone: 770-219-0000
Practice Fax:

1992653612 — MIKALAH ARIONNE BRINKLEY
Practice Location Address:

7305 MOUNTAINTOP AVE # 7305
GAINESVILLE, GA
30501-3983

Practice Phone: 470-368-0209
Practice Fax: 470-368-0209

1952259681 — ADAM ROSE
Practice Location Address:

743 SPRING ST NE
GAINESVILLE, GA
30501-3715

Practice Phone: 770-219-9000
Practice Fax:

1326665852 — FIRST INTEGRATIVE CONSULTING SERVICES
Practice Location Address:

311 GREEN ST NW STE 404
GAINESVILLE, GA
30501-3366

Practice Phone: 678-732-7616
Practice Fax:

1861931354 — JUDITH MONDESIR LCSW
Practice Location Address:

311 GREEN ST NW STE 404
GAINESVILLE, GA
30501-3366

Practice Phone: 678-732-7616
Practice Fax:

Directions to “ DR. BRENDA JO KOWALSKE M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.