Bradley C Bandera (NPI# 1427205681, PAC ID# 8123340452) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1427205681 |
| PAC ID by PECOS | 8123340452 |
| Professional Enrollment ID | I20180321001067 |
| Full Name | Bradley C Bandera |
| Organization Legal Name | AUGUSTA SURGICAL GROUP, P.C. |
| Address |
1430 Harper St Suite B Augusta GA 30901-0619 |
| Phone Number | 7067245451 |
| Gender | M |
| Medical School | UNIVERSITY OF NEVADA SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 9931488251 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110028 | UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1430 Harper St, Suite B, Augusta, GA 30901-0619 | 7067245451 | AUGUSTA SURGICAL GROUP, P.C. |
| Organization Legal Name | AUGUSTA SURGICAL GROUP, P.C. |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Byron Faler | General Surgery | Augusta Surgical Group, P.C. | 1430 Harper St, Suite B, Augusta, GA 30901-0619 |
| Pamela L Burgess | General Surgery | Augusta Surgical Group, P.C. | 1430 Harper St, Suite B, Augusta, GA 30901-0619 |
| Benjamin G Allen | General Surgery | Augusta Surgical Group, P.C. | 1430 Harper St, Suite B, Augusta, GA 30901-0619 |
| Kevin S Cochran | General Surgery | Augusta Surgical Group, P.C. | 1430 Harper St, Suite B, Augusta, GA 30901-0619 |
| Joel R Brockmeyer | General Surgery | Augusta Surgical Group, P.C. | 1430 Harper St, Suite B, Augusta, GA 30901-0619 |
| Street Address |
1430 HARPER ST SUITE B |
| City | AUGUSTA |
| State | GA |
| Zip | 30901-0619 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Byron Faler | General Surgery | Augusta Surgical Group, P.C. | 1430 Harper St, Suite B, Augusta, GA 30901-0619 |
| Edward T Wills | General Surgery | 1430 Harper St, Suite B, Augusta, GA 30901-0619 | |
| Kenneth D Jones | Psychiatry | 1430 Harper St, C2, Augusta, GA 30901-0621 | |
| Pamela L Burgess | General Surgery | Augusta Surgical Group, P.C. | 1430 Harper St, Suite B, Augusta, GA 30901-0619 |
| Jay N Bates Jr. | General Surgery | 1430 Harper St, B, Augusta, GA 30901-0619 | |
| Matthew M Mondi | General Surgery | 1430 Harper St, B, Augusta, GA 30901-0619 | |
| Benjamin G Allen | General Surgery | Augusta Surgical Group, P.C. | 1430 Harper St, Suite B, Augusta, GA 30901-0619 |
| Gregory T Ellison | General Surgery | 1430 Harper St, B, Augusta, GA 30901-0619 | |
| Kevin S Cochran | General Surgery | Augusta Surgical Group, P.C. | 1430 Harper St, Suite B, Augusta, GA 30901-0619 |
| Joel R Brockmeyer | General Surgery | Augusta Surgical Group, P.C. | 1430 Harper St, Suite B, Augusta, GA 30901-0619 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Francisco J Hernandez-munoz | Infectious Disease | Umg Infectious Disease LLC | 820 St Sebastian Way, Pob 1 Ste. 7 C, Augusta, GA 30901 |
| Matthew K Howard | Internal Medicine | 818 St Sebastian Way, Suite 311, Augusta, GA 30901 | |
| Richard Hatch | Obstetrics/gynecology | 820 St Sebastian Way, Suite 1b, Augusta, GA 30901 | |
| Richard Edward Kilgore Rodriguez | Infectious Disease | Umg Infectious Disease LLC | 820 St Sebastian Way, Pob 1 Ste. 7 C, Augusta, GA 30901 |
| Ioana Chirca | Infectious Disease | Umg Infectious Disease LLC | 820 St Sebastian Way, Pob 1 Ste. 7 C, Augusta, GA 30901 |
| James C Sherman | General Surgery | 1430 Harper St B, Augusta, GA 30901-0619 | |
| Chris Charles Carlson | General Surgery | 1430 Harper St B, Augusta, GA 30901-0619 | |
| Jeremy B Hertza | Psychologist, Clinical | 639 13th St, Augusta, GA 30901-1007 | |
| Brian N Apple | Clinical Psychologist | Neurobehavioral Associates LLC | 639 13th St, Augusta, GA 30901-1007 |
| Aaron Michael Hurd | Vascular Surgery | Vascular Radiology Associates, II | 630 13th St, Suite 250, Augusta, GA 30901-1017 |
| Find all physicians in zip 30901 | |||
| City | AUGUSTA |
| Zip Code | 30901 |
| Specialty | GENERAL SURGERY |
| City + Specialty | AUGUSTA + GENERAL SURGERY |
Please comment or provide details below to improve the information on Bradley C Bandera.
| 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.