BRADLEY ROBERT PETERS


Address: 200 Oakside Ln, Ste A, Canton, GA 30114-6416
Phone: 7704791945

BRADLEY ROBERT PETERS (NPI# 1659374262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659374262
Entity Type Individual
Full Name BRADLEY ROBERT PETERS
Credential M.D.
Practice Address 200 Oakside Ln
Ste A
Canton
GA 30114-6416
Mailing Address 5655 Hudson Dr Ste 210
Aris Radiology
Hudson
OH 44236-4455
Practice Telephone 7704791945
Practice Fax Number 7704791948
Mailing Telephone 3306551869
Mailing Fax Number 3306553828
Enumeration Date 2005-05-27
Last Update Date 2016-11-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
26644 AL Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
202673 NY Allopathic & Osteopathic Physicians
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
051890 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA 000964268L 05

Other Providers BRADLEY PETERS

NPI Name Taxonomy Address Enumeration
1396343356 Bradley Peters Pharmacist 150 Western Ave Nw, Faribault, MN 55021-4504 2020-10-13
1649627266 Bradley Peters Counselor 1310 Valley View Blvd, Altoona, PA 16602 2016-05-24
1750529087 Bradley Christopher Peters Social Worker 343 S Kirkwood Rd, Saint Louis, MO 63122-6195 2009-01-23

Office Location

Street Address 200 OAKSIDE LN
STE A
City CANTON
State GA
Zip Code 30114-6416

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457640831 Canton Specialty Imaging, LLC Specialist 200 Oakside Ln, Suite A, Canton, GA 30114-6416 2011-04-06
1306086228 Kennestone Heart Physicians Group Internal Medicine 200 Oakside Ln, Suite D, Canton, GA 30114-6416 2009-03-05
1588774467 Teru Kay Lapaquette Obstetrics & Gynecology 200 Oakside Ln, Suite D, Canton, GA 30114-6416 2006-08-30
1932155355 Imaging Associates of Canton Clinic/Center 200 Oakside Ln, Suite A, Canton, GA 30114-6415 2006-05-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619516093 Wickshire Canton Opco LLC Assisted Living Facility 125 Riverstone Terrace, Canton, GA 30114 2020-01-02
1154803583 Alixandra Nicole Flournoy Physical Therapist 131 Holly Street, Canton, GA 30114 2018-09-01
1588157341 Provident Group - Canton Cove Properties LLC Alzheimer Center (Dementia Center) 1100 Reinhardt College Parkway, Canton, GA 30114 2018-06-07
1003233107 Heartland Dental Care of Georgia Dentist 3237 Sixes Rd, Canton, GA 30114 2014-03-26
1730510959 Joseph Optical Eyewear Supplier (Equipment, not the service) 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 2013-12-13
1629313036 Ramona Morton Rasmussen Occupational Therapist 200 Riverstone Drive, Suite B, Canton, GA 30114 2012-12-11
1902154875 Yong Qiao Luo Acupuncturist 200 Oakside Lane, Suite D, Canton, GA 30114 2012-08-26
1215294350 Christina Lynn Hernandez Pediatrics 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 2012-04-13
1558638981 Stephen E Byrd Counselor 191 Lamar Haley Pkwy., Canton, GA 30114 2011-11-30
1073807855 Sheri Sullins Buckley Nurse Practitioner 120 Oakside Ct Ste H, Canton, GA 30114 2011-06-08
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578061636 Subspecialty Imaging, LLC Radiology 1495 Hickory Flat Hwy Ste 150, Canton, GA 30115-4229 2018-01-24
1649566183 Guillermo Zaldivar Radiology 6877 Chillingsworth Cir Nw, Canton, OH 44718-1571 2011-06-23
1417113044 Adnan Ali Fateh Radiology 42186 Saratoga Cir, Canton, MI 48187-3535 2008-08-04
1861560013 Radiology Services of Stark County Inc Radiology 4525 Saint James Cir Nw, Canton, OH 44708-8902 2006-12-04
1396751426 Jennifer Elizabeth Bryant Radiology 36 Hoffmann Rd, Canton, CT 06019-2123 2006-07-31
1144280397 Maria Crumes M.d. P.C. Radiology 49086 Crescent Dr, Canton, MI 48187-6671 2006-03-23
1154784619 On-demand Provider PC Radiology 44237 Michigan Ave, Canton, MI 48188-2584 2016-04-01
1558755843 Stephen A. Snodgrass Radiology 2600 6th St Sw, Canton, OH 44710-1702 2015-03-24
1841633351 David Angari Radiology 2600 Sixth St Sw, Canton, OH 44710-1702 2013-04-15
1194168989 Anirudh Paspulati Radiology 2600 Sixth St Sw, Canton, OH 44710-1702 2013-04-10
Find all providers in CANTON

Competitor

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City CANTON
Zip Code 30114

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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