Christopher R Bradley (NPI# 1790144558, PAC ID# 4587963988) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1790144558 |
| PAC ID by PECOS | 4587963988 |
| Professional Enrollment ID | I20160506001353 |
| Full Name | Christopher R Bradley |
| Organization Legal Name | CAROLINA PAIN AND WEIGHT LOSS |
| Address |
131 Welton Way Mooresville NC 28117-9163 |
| Phone Number | 7043604564 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7113168824 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340039 | IREDELL MEMORIAL HOSPITAL INC |
| 340064 | WILKES REGIONAL MEDICAL CENTER |
| 340129 | LAKE NORMAN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 131 Welton Way, Mooresville, NC 28117-9163 | 7043604564 | CAROLINA PAIN AND WEIGHT LOSS |
| Organization Legal Name | CAROLINA PAIN AND WEIGHT LOSS |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer M Drake | Nurse Practitioner | Carolina Pain and Weight Loss | 131 Welton Way, Mooresville, NC 28117-9163 |
| Lee Marie D Hinson | Nurse Practitioner | Carolina Pain and Weight Loss | 1035 Lincolnton Rd, Salisbury, NC 28144-6277 |
| William N Carlson | Physician Assistant | Carolina Pain and Weight Loss | 131 Welton Way, Mooresville, NC 28117-9163 |
| Amy L Heusinger | Nurse Practitioner | Carolina Pain and Weight Loss | 131 Welton Way, Mooresville, NC 28117-9163 |
| Carolyn D Davis | Nurse Practitioner | Carolina Pain and Weight Loss | 131 Welton Way, Mooresville, NC 28117-9163 |
| Joselyn E Fair | Nurse Practitioner | Carolina Pain and Weight Loss | 1035 Lincolnton Rd, Salisbury, NC 28144-6277 |
| Street Address |
131 WELTON WAY |
| City | MOORESVILLE |
| State | NC |
| Zip | 28117-9163 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer M Drake | Nurse Practitioner | Carolina Pain and Weight Loss | 131 Welton Way, Mooresville, NC 28117-9163 |
| William N Carlson | Physician Assistant | Carolina Pain and Weight Loss | 131 Welton Way, Mooresville, NC 28117-9163 |
| Amy L Heusinger | Nurse Practitioner | Carolina Pain and Weight Loss | 131 Welton Way, Mooresville, NC 28117-9163 |
| Carolyn D Davis | Nurse Practitioner | Carolina Pain and Weight Loss | 131 Welton Way, Mooresville, NC 28117-9163 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven G Folstad | Emergency Medicine | Carolina Vein Associates Pllc | 206 Joe V Knox Ave H, Mooresville, NC 28117 |
| Paul C Davis | Chiropractic | 514 Williamson Rd, Suite 411, Mooresville, NC 28117-3382 | |
| Gregory Ott | Physical Therapy | Greg Otts Center for Physical Therapy and Sports Performance LLC | 156 Byers Creek Rd, Mooresville, NC 28117-4376 |
| Heather J Osborne | Physical Therapy | Greg Otts Center for Physical Therapy and Sports Performance LLC | 156 Byers Creek Rd, Mooresville, NC 28117-4376 |
| Robert C Monson Iii | Optometry | 125 Commerce Park Rd, Suite 103, Mooresville, NC 28117-4818 | |
| Nancy E Deem | Nurse Practitioner | Holston Medical Group PC | 123 Professional Park Dr, Suite 200, Mooresville, NC 28117-5519 |
| Monica L Webb | Physician Assistant | Mooresville Ppm LLC | 123 Professional Park Dr, Suite 200, Mooresville, NC 28117-5519 |
| Rebecca M Panuski | Family Medicine | Holston Medical Group PC | 123 Professional Park Dr, Suite 200, Mooresville, NC 28117-5519 |
| Bruce S Mather | Family Medicine | Holston Medical Group PC | 123 Professional Park Dr, Suite 200, Mooresville, NC 28117-5519 |
| Elisabeth E Stoffel | Family Medicine | Holston Medical Group PC | 123 Professional Park Dr, Suite 200, Mooresville, NC 28117-5519 |
| Find all physicians in zip 28117 | |||
| City | MOORESVILLE |
| Zip Code | 28117 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MOORESVILLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Christopher R 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.