Betty B Bradley (NPI# 1841389053, PAC ID# 6709971013) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1841389053 |
| PAC ID by PECOS | 6709971013 |
| Professional Enrollment ID | I20071002000411 |
| Full Name | Betty B Bradley |
| Organization Legal Name | FHPG LLC |
| Address |
210 E Main St Candor NC 27229-8088 |
| Phone Number | 9109747555 |
| Gender | F |
| Medical School | DUKE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1979 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 9537481569 |
| Number of Group Practice Members | 108 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340115 | FIRSTHEALTH MOORE REGIONAL HOSPITAL |
| 341303 | FIRSTHEALTH MONTGOMERY MEMORIAL HOSP |
| Address | Phone | Organization |
|---|---|---|
| 210 E Main St, Candor, NC 27229-8088 | 9109747555 | FHPG LLC |
| Organization Legal Name | FHPG LLC |
| Physicians | 100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ernesto M Tamez | Physician Assistant | Fhpg LLC | 104 Physicians Park Dr, Rockingham, NC 28379-5204 |
| Kimberly Sue-hicks Donze | Nurse Practitioner | Fhpg LLC | 7473-b Hwy 22, Whispering Pines, NC 28327 |
| Hanie Fawzy Abdel Masih | Family Medicine | Fhpg LLC | 921 S Long Dr, Suite 101, Rockingham, NC 28379-4874 |
| Pawan Anil Kumar Dhawan | Hospitalist | Fhpg LLC | 520 Allen St, Troy, NC 27371-2802 |
| Julie Coggins | Nurse Practitioner | Fhpg LLC | 210 E Main St, Candor, NC 27229-8088 |
| Tabitha Marie Bedini | Hospitalist | Fhpg LLC | 6408 Fayetteville Rd, Raeford, NC 28376-7977 |
| Mary C Moree | Family Medicine | Fhpg LLC | 3349 Us 1 Hwy, Vass, NC 28394 |
| Maria C Castillo Powell | Physician Assistant | Fhpg LLC | 304 Saunders St, Carthage, NC 28327-9343 |
| Bridget N Thompson | Physician Assistant | Fhpg LLC | 112 E Ballard St, Ellerbe, NC 28338-9730 |
| Bohdan W Kopynec | Family Medicine | Fhpg LLC | 104 Professional Dr, Biscoe, NC 27209-9835 |
| Street Address |
210 E MAIN ST |
| City | CANDOR |
| State | NC |
| Zip | 27229-8088 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie Coggins | Nurse Practitioner | Fhpg LLC | 210 E Main St, Candor, NC 27229-8088 |
| Krista J Clark | Physical Therapy | 210 E Main St, Suite 111, Midway, UT 84049-6828 | |
| Deborah A Fischman | Psychologist, Clinical | 210 E Main St, Suite 3, Huntington, NY 11743-2979 | |
| Kelly-ann Monique Fairweather | Clinical Social Worker | 210 E Main St, Suite 105, Middletown, NY 10940-4038 | |
| Mary Theresa Kiernan-tighe | Clinical Social Worker | 210 E Main St, Huntington, NY 11743-2979 | |
| Charles Strober | Internal Medicine | 210 E Main St, Middletown, NY 10940-4038 | |
| Lorraine F Burns | Family Medicine | Island Medicine, Pllc | 210 E Main St, Huntington, NY 11743-2979 |
| Patrick B Burns | Family Medicine | Island Medicine, Pllc | 210 E Main St, Huntington, NY 11743-2979 |
| Karen J Gutheit | Psychologist, Clinical | 210 E Main St, Middletown, NY 10940-4038 | |
| Jimmy Dale Patterson Jr. | Physician Assistant | Fhpg LLC | 210 E Main St, Candor, NC 27229-8088 |
| Find all physicians in the same address | |||
| City | CANDOR |
| Zip Code | 27229 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | CANDOR + FAMILY PRACTICE |
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| 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.