Kevin G Bradley (NPI# 1093880486, PAC ID# 8022073501) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1093880486 |
| PAC ID by PECOS | 8022073501 |
| Professional Enrollment ID | I20041123001132 |
| Full Name | Kevin G Bradley |
| Organization Legal Name | COASTAL VASCULAR AND INTERVENTIONAL PLLC |
| Address |
2301 N 9th Ave Suite 100 Pensacola FL 32503-5201 |
| Phone Number | 8504791805 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialties | INTERVENTIONAL RADIOLOGY |
| Group Practice PAC ID | 1355405549 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100018 | NAPLES COMMUNITY HOSPITAL |
| 100025 | SACRED HEART HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 350 7th St N, Naples Community Hospital, Naples, FL 34102-5754 | 2394365100 | NCHMD INC |
| 2301 N 9th Ave, Suite 100, Pensacola, FL 32503-5201 | 8504791805 | COASTAL VASCULAR AND INTERVENTIONAL PLLC |
| 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 | 8504791805 | COASTAL VASCULAR AND INTERVENTIONAL PLLC |
| Organization Legal Name | COASTAL VASCULAR AND INTERVENTIONAL PLLC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Lytle | Vascular Surgery | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Aaron B Montgomery | Interventional Radiology | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Jason T Nieves | Vascular Surgery | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Shonak B Patel | Vascular Surgery | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Christopher J Bosarge | Diagnostic Radiology | Coastal Vascular and Interventional Pllc | 1851 N 9th Ave, Pensacola, FL 32503-5201 |
| Colby Keith Sullivan | Nurse Practitioner | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Harry R Cramer | Interventional Radiology | Coastal Vascular and Interventional Pllc | 1851 N 9th Ave, Suite B, Pensacola, FL 32503-5201 |
| Geoffrey L Risley | Vascular Surgery | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite G21, Pensacola, FL 32504-8756 |
| Kristina R Adam | Physician Assistant | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Tonya L Hayes | Physician Assistant | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Street Address |
2301 N 9TH AVE SUITE 100 |
| City | PENSACOLA |
| State | FL |
| Zip | 32503-5201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carl Wade Peters Jr. | Dermatology | 2301 N 9th Ave, Suite 200, Pensacola, FL 32503-3950 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joumana Sarkhoche | Family Practice | 5500 N Davis Hwy 3, Pensacola, FL 32503 | |
| Peter A Marco | Pulmonary Disease | Pensacola Lung Group, M.d.'s, P.a. | 4700 Bayou Blvd, Suite 6, Pensacola, FL 32503-1901 |
| Luis Carlos Murillo | Pulmonary Disease | Pensacola Lung Group, M.d.'s, P.a. | 4700 Bayou Blvd, Suite 6, Pensacola, FL 32503-1901 |
| Peter A Bercz | Pulmonary Disease | Pensacola Lung Group, M.d.'s, P.a. | 4700 Bayou Blvd, Suite 6, Pensacola, FL 32503-1901 |
| Enrique Diaz Guzman Zavala | Pulmonary Disease | Pensacola Lung Group, M.d.'s, P.a. | 4700 Bayou Blvd, Suite 6, Pensacola, FL 32503-1901 |
| John George Wagner | Pulmonary Disease | Pensacola Lung Group, M.d.'s, P.a. | 4700 Bayou Blvd, Suite 6, Pensacola, FL 32503-1901 |
| Sean Michael Roark | Pulmonary Disease | Pensacola Lung Group, M.d.'s, P.a. | 4700 Bayou Blvd, Suite 6, Pensacola, FL 32503-1901 |
| Brandy M Miles | Physician Assistant | Pensacola Lung Group, M.d.'s, P.a. | 4700 Bayou Blvd, Suite 6, Pensacola, FL 32503-1901 |
| John M Bray | Pulmonary Disease | Pensacola Lung Group, M.d.'s, P.a. | 4700 Bayou Blvd, Suite 6, Pensacola, FL 32503-1901 |
| Frank V Messina | Pulmonary Disease | Pensacola Lung Group, M.d.'s, P.a. | 4700 Bayou Blvd, Suite 6, Pensacola, FL 32503-1901 |
| Find all physicians in zip 32503 | |||
| City | PENSACOLA |
| Zip Code | 32503 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | PENSACOLA + DIAGNOSTIC RADIOLOGY |
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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.