Robert M Bradley (NPI# 1124002704, PAC ID# 0648265173) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1124002704 |
| PAC ID by PECOS | 0648265173 |
| Professional Enrollment ID | I20040415000629 |
| Full Name | Robert M Bradley |
| Organization Legal Name | MEMPHIS PATHOLOGY GROUP PC |
| Address |
1265 Union Ave Memphis TN 38104-3415 |
| Gender | M |
| Credential | MD |
| Medical School | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 4981914124 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440049 | METHODIST HEALTHCARE MEMPHIS HOSPITALS |
| 250167 | METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 7691 Poplar Ave, Germantown, TN 38138-3904 | 9015166000 | MEMPHIS PATHOLOGY GROUP PC |
| 1265 Union Ave, Memphis, TN 38104-3415 | MEMPHIS PATHOLOGY GROUP PC | |
| 1300 Wesley Dr, Memphis, TN 38116-6426 | 9015163700 | MEMPHIS PATHOLOGY GROUP PC |
| 3960 New Covington Pike, Memphis, TN 38128-2504 | 9015165200 | MEMPHIS PATHOLOGY GROUP PC |
| 4250 Bethel Rd, Olive Branch, MS 38654-8737 | 6629329000 | MEMPHIS PATHOLOGY GROUP PC |
| Organization Legal Name | MEMPHIS PATHOLOGY GROUP PC |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sonali Lanjewar | Pathology | Memphis Pathology Group PC | 1265 Union Ave, Memphis, TN 38104-3415 |
| Ava Bhattarai | Pathology | Memphis Pathology Group PC | 1265 Union Ave, Memphis, TN 38104-3415 |
| Nour M Yadak | Pathology | Memphis Pathology Group PC | 1265 Union Ave, Memphis, TN 38104-3415 |
| Alan D Boom | Pathology | Memphis Pathology Group PC | 848 Adams Ave, Memphis, TN 38103-2816 |
| Cameila D Johns | Pathology | Memphis Pathology Group PC | 1265 Union Ave, Memphis, TN 38104-3415 |
| Nagla E Salem | Pathology | Memphis Pathology Group PC | 1265 Union Ave, Memphis, TN 38104-3415 |
| Lauren C King | Pathology | Memphis Pathology Group PC | 1265 Union Ave, Memphis, TN 38104-3415 |
| Jie Zhang | Pathology | Memphis Pathology Group PC | 848 Adams Ave, Memphis, TN 38103-2816 |
| Ian Clark | Pathology | Memphis Pathology Group PC | 1265 Union Ave, Memphis, TN 38104-3415 |
| Rodolfo Laucirica | Pathology | Memphis Pathology Group PC | 1265 Union Ave, Memphis, TN 38104-3415 |
| Street Address |
1265 UNION AVE |
| City | MEMPHIS |
| State | TN |
| Zip | 38104-3415 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph P Blankinship | Diagnostic Radiology | Memphis Radiological PC | 1265 Union Ave, Memphis, TN 38104-3415 |
| Antonni Shingles | Certified Registered Nurse Anesthetist (crna) | Medical Anesthesia Group, Pa | 1265 Union Ave, Memphis, TN 38104-3415 |
| Michael Fisher | Certified Registered Nurse Anesthetist (crna) | Medical Anesthesia Group, Pa | 1265 Union Ave, Memphis, TN 38104-3415 |
| Shannon N Noblin | Certified Registered Nurse Anesthetist (crna) | Medical Anesthesia Group, Pa | 1265 Union Ave, Memphis, TN 38104-3415 |
| Matthew T Ballo | Radiation Oncology | West Clinic PC | 1265 Union Ave, Memphis, TN 38104-3415 |
| Yasser A Khaled | Hematology/oncology | Ut Methodist Physicians LLC | 1265 Union Ave, Memphis, TN 38104-3415 |
| Marilyn M Barnett | Nurse Practitioner | Ut Methodist Physicians LLC | 1265 Union Ave, Memphis, TN 38104-3415 |
| Hollis H Halford Iii | Diagnostic Radiology | Memphis Radiological PC | 1265 Union Ave, Memphis, TN 38104-3415 |
| James R Burch | Anesthesiology | Medical Anesthesia Group, Pa | 1265 Union Ave, Memphis, TN 38104-3415 |
| Jeremiah L Deneve | General Surgery | Ut Methodist Physicians LLC | 1265 Union Ave, Memphis, TN 38104-3415 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan F Nelson | Family Medicine | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| David Keith Jennings | Internal Medicine | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Sheila M Thomas | Family Medicine | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Aditee S Satpute | Family Medicine | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Banjul L Covington | Nurse Practitioner | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Sharon L Thorpe | Nurse Practitioner | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Glenn Scott Morris | Family Medicine | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Melissa Jean Fullerton | Family Medicine | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Tammy L Carnahan | Nurse Practitioner | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Daniel G Fuller | Optometry | Southern College of Optometry | 1350 Concourse Ave, Suite 264, Memphis, TN 38104-2023 |
| Find all physicians in zip 38104 | |||
| City | MEMPHIS |
| Zip Code | 38104 |
| Specialty | PATHOLOGY |
| City + Specialty | MEMPHIS + PATHOLOGY |
Please comment or provide details below to improve the information on Robert M Bradley.
| 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.