Bradley J Fogel (NPI# 1043500804, PAC ID# 0749506236) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1043500804 |
| PAC ID by PECOS | 0749506236 |
| Professional Enrollment ID | I20150625001473 |
| Full Name | Bradley J Fogel |
| Organization Legal Name | ARKANSAS PATHOLOGY ASSOCIATES PA |
| Address |
2 Saint Vincent Cir Little Rock AR 72205-5423 |
| Phone Number | 5016634116 |
| Gender | M |
| Medical School | UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH |
| Graduation Year | 2011 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 8921905589 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040007 | CHI-ST VINCENT INFIRMARY |
| 040026 | ST VINCENT HOT SPRINGS |
| 040029 | CONWAY REGIONAL MEDICAL CENTER |
| 040134 | ARKANSAS HEART HOSPITAL, LLC |
| 040084 | SALINE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2 Saint Vincent Cir, Little Rock, AR 72205-5423 | 5016634116 | ARKANSAS PATHOLOGY ASSOCIATES PA |
| Organization Legal Name | ARKANSAS PATHOLOGY ASSOCIATES PA |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen E Sturdivant | Pathology | Arkansas Pathology Associates Pa | 300 Werner St, Hot Springs, AR 71913-6406 |
| Katherine R Steward | Pathology | Arkansas Pathology Associates Pa | 300 Werner St, Hot Springs, AR 71913-6406 |
| Kristin M Dishongh | Pathology | Arkansas Pathology Associates Pa | 300 Werner St, Hot Springs, AR 71913-6406 |
| Perkins Mukunyadzi | Pathology | Arkansas Pathology Associates Pa | 300 Werner St, Hot Springs, AR 71913-6406 |
| Michael F Weiner | Pathology | Arkansas Pathology Associates Pa | 300 Werner St, Hot Springs, AR 71913-6406 |
| David Pope | Diagnostic Radiology | Arkansas Pathology Associates Pa | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 |
| Ian M Birkett | Pathology | Arkansas Pathology Associates Pa | 300 Werner St, Hot Springs, AR 71913-6406 |
| Paul W Stout | Pathology | Arkansas Pathology Associates Pa | 300 Werner St, Hot Springs, AR 71913-6406 |
| Michael B Allen | Pathology | Arkansas Pathology Associates Pa | 300 Werner St, Hot Springs, AR 71913-6406 |
| Street Address |
2 SAINT VINCENT CIR |
| City | LITTLE ROCK |
| State | AR |
| Zip | 72205-5423 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Travis Mosley | Certified Registered Nurse Anesthetist (crna) | Southern Regional Anesthesiology Consultants Pllc | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 |
| Dylan E Rainwater | Certified Registered Nurse Anesthetist (crna) | Southern Regional Anesthesiology Consultants Pllc | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 |
| Ashley Allison Long | Nurse Practitioner | St Vincent Infirmary Medical Center | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 |
| Lori Piper | Certified Registered Nurse Anesthetist (crna) | Southern Regional Anesthesiology Consultants Pllc | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 |
| William P. Groce Iii | Anesthesiology | Southern Regional Anesthesiology Consultants Pllc | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 |
| Tracy A Haselow | Psychiatry | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 | |
| Emily Anne Tyree | Physician Assistant | Hospital Medicine | 2 Saint Vincent Cir, Suite 6, Little Rock, AR 72205-5423 |
| Ashley Browning | Certified Registered Nurse Anesthetist (crna) | Southern Regional Anesthesiology Consultants Pllc | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 |
| Caroline Cade Reynolds | Anesthesiology | Southern Regional Anesthesiology Consultants Pllc | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 |
| Karen D Walls | Certified Registered Nurse Anesthetist (crna) | Southern Regional Anesthesiology Consultants Pllc | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leah Marie Cossey | Nurse Practitioner | Hill Medical Services Pllc | 1 St Vincent Cir, Little Rock, AR 72205 |
| Paula J Sargent | Nurse Practitioner | Hill Medical Services Pllc | 1 St Vincent Cir, Little Rock, AR 72205 |
| David P Dean | General Surgery | Hill Medical Services Pllc | 1 St Vincent Cir, Little Rock, AR 72205 |
| Octavio Herrera-verdugo | Vascular Surgery | 1225 Breckenridge Dr, Suite 110, Little Rock, AR 72205-1565 | |
| Charlotte Chapple | Certified Registered Nurse Anesthetist (crna) | 212 Natural Resources Dr, Little Rock, AR 72205-1573 | |
| William L Rutledge | General Practice | 9712 W Markham St, Little Rock, AR 72205-2124 | |
| Victor B Williams | General Surgery | Surgical Associates of Arkansas | 9712 W Markham St, Little Rock, AR 72205-2124 |
| Ralonda Greer | Certified Clinical Nurse Specialist (cns) | Surgical Associates of Arkansas | 9712 W Markham St, Little Rock, AR 72205-2124 |
| James A Washburn | Podiatry | 10020 W Markham St, Little Rock, AR 72205-2130 | |
| Stephen L Clark | Psychologist, Clinical | Living Hope Southeast LLC | 10025 W Markham St, Suite 210, Little Rock, AR 72205-2178 |
| Find all physicians in zip 72205 | |||
| City | LITTLE ROCK |
| Zip Code | 72205 |
| Specialty | PATHOLOGY |
| City + Specialty | LITTLE ROCK + PATHOLOGY |
Please comment or provide details below to improve the information on Bradley J Fogel.
| 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.