Bradley P Mudge (NPI# 1891764700, PAC ID# 5890608806) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1891764700 |
| PAC ID by PECOS | 5890608806 |
| Professional Enrollment ID | I20031106000436 |
| Full Name | Bradley P Mudge |
| Address |
240 Newport Ctr Dr Suite 105 Newport Beach CA 92660-7538 |
| Gender | M |
| Credential | MD |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Secondary Specialties | HAND SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050329 | CORONA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 770 Magnolia Ave, Suite 1h, Corona, CA 92879-3121 | 9513542220 | PACIFIC DERMATOLOGY INSTITUTE |
| 600 Corporate Dr, Suite 100, Ladera Ranch, CA 92694-2107 | 9493888022 | LUCAS BINGHAM M.D., INC. |
| 240 Newport Ctr Dr, Suite 105, Newport Beach, CA 92660-7538 | ||
| 1666 N Waterman Ave, San Bernardino, CA 92404-5113 | 9098864965 | PACIFIC DERMATOLOGY INSTITUTE |
| Street Address |
240 NEWPORT CTR DR SUITE 105 |
| City | NEWPORT BEACH |
| State | CA |
| Zip | 92660-7538 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leon Edward Schwartz | Dermatology | Pacific Dermatology Institute | 240 Newport Ctr Dr, Suite 105, Newport Beach, CA 92660-7538 |
| Tiffiny Suzanne Pizzifred | Nurse Practitioner | Pacific Dermatology Institute | 240 Newport Ctr Dr, Suite 105, Newport Beach, CA 92660-7538 |
| Nagi Kamil Saied | Dermatology | Pacific Dermatology Institute | 240 Newport Ctr Dr, Suite 105, Newport Beach, CA 92660-7538 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nirav B Savalia | Plastic and Reconstructive Surgery | 180 Newport Ctr Dr, Suite 170, Newport Beach, CA 92660 | |
| Joannie D Sun | Dermatology | Dermatology Associates of Orange County, Inc | 230 Newport Ctr Dr, 200 Advanced Dermatology of Orange, Newport Beach, CA 92660 |
| Rumana Mansur | Psychologist, Clinical | 180 Newport Ctr Dr, Suite 270d, Newport Beach, CA 92660 | |
| B B Rahavi | Rheumatology | 400 Newport Ctr Dr, 602a, Newport Beach, CA 92660 | |
| Thomas A Hendrickx | Physical Therapy | 2290 Se Bristol St, Suite 104, Newport Beach, CA 92660-0746 | |
| Lawson Victor Sealey | Chiropractic | 20151 Sw Birch St, Suite 200, Newport Beach, CA 92660-0776 | |
| Estera Han | Nurse Practitioner | Array Skin Therapy, A Medical Corporation | 20162 Sw Birch St, Suite 260, Newport Beach, CA 92660-0787 |
| Parth P Patel | Physical Therapy | Optimum Medical Clinics Inc | 20072 Sw Birch St, Suite 100, Newport Beach, CA 92660-0794 |
| Alejandro Gonzalez | Internal Medicine | Optimum Medical Clinics Inc | 20072 Sw Birch St, Suite 100, Newport Beach, CA 92660-0794 |
| Bettina T Limjoco | Physical Medicine and Rehabilitation | 20072 Sw Birch St, Suite 170, Newport Beach, CA 92660-0795 | |
| Find all physicians in zip 92660 | |||
| City | NEWPORT BEACH |
| Zip Code | 92660 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | NEWPORT BEACH + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Bradley P Mudge.
| 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.