Bradley L Ward (NPI# 1013923440, PAC ID# 4981702164) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
Nation Provider ID (NPI) | 1013923440 |
PAC ID by PECOS | 4981702164 |
Professional Enrollment ID | I20070612000457 |
Full Name | Bradley L Ward |
Address |
220 Hills Creek Rd Taylorsville GA 30178-2068 |
Gender | M |
Credential | MD |
Medical School | DUKE UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1978 |
Primary Specialty | FAMILY PRACTICE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
111330 | POLK MEDICAL CENTER |
110225 | PIEDMONT MOUNTAINSIDE HOSPITAL INC |
110054 | FLOYD MEDICAL CENTER |
110189 | FANNIN REGIONAL HOSPITAL |
110236 | CHI MEMORIAL HOSPITAL - GEORGIA |
Address | Phone | Organization |
---|---|---|
220 Hills Creek Rd, Taylorsville, GA 30178-2068 |
Street Address |
220 HILLS CREEK RD |
City | TAYLORSVILLE |
State | GA |
Zip | 30178-2068 |
Name | Specialty | Organization | Address |
---|---|---|---|
Keith M Parmer | Family Medicine | Senior Medical Systems, LLC | 220 Hills Creek Rd, Taylorsville, GA 30178-2068 |
Darrell L Dean | Family Medicine | Senior Medical Systems, LLC | 220 Hills Creek Rd, Taylorsville, GA 30178-2068 |
City | TAYLORSVILLE |
Zip Code | 30178 |
Specialty | FAMILY PRACTICE |
City + Specialty | TAYLORSVILLE + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Bradley L Ward.
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.