Bradley N Greenhaw (NPI# 1215249131, PAC ID# 9335461326) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1215249131 |
| PAC ID by PECOS | 9335461326 |
| Professional Enrollment ID | I20150617000693 |
| Full Name | Bradley N Greenhaw |
| Organization Legal Name | DERMATOLOGY CENTER OF NORTH MS PA |
| Address |
516 Pegram Dr Tupelo MS 38801-6347 |
| Phone Number | 6628446272 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 7416006986 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250044 | BAPTIST MEMORIAL HOSPITAL BOONEVILLE |
| 250004 | NORTH MISSISSIPPI MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 516 Pegram Dr, Tupelo, MS 38801-6347 | 6628446272 | DERMATOLOGY CENTER OF NORTH MS PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 100% | |
| MIPS_EC_138_overall | Melanoma: Coordination of Care | 100% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 97% |
| Organization Legal Name | DERMATOLOGY CENTER OF NORTH MS PA |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John D Burk | Dermatology | Dermatology Center of North Ms Pa | 516 Pegram Dr, Tupelo, MS 38801-6347 |
| Jennifer H Stone | Physician Assistant | Dermatology Center of North Ms Pa | 516 Pegram Dr, Tupelo, MS 38801-6347 |
| Jeffrey C Houin Jr. | Dermatology | Dermatology Center of North Ms Pa | 516 Pegram Dr, Tupelo, MS 38801-6347 |
| Street Address |
516 PEGRAM DR |
| City | TUPELO |
| State | MS |
| Zip | 38801-6347 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John D Burk | Dermatology | Dermatology Center of North Ms Pa | 516 Pegram Dr, Tupelo, MS 38801-6347 |
| Jennifer H Stone | Physician Assistant | Dermatology Center of North Ms Pa | 516 Pegram Dr, Tupelo, MS 38801-6347 |
| Jeffrey C Houin Jr. | Dermatology | Dermatology Center of North Ms Pa | 516 Pegram Dr, Tupelo, MS 38801-6347 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas Porter Anderson | Physician Assistant | 1514 Cr, 41 Magnolia Manor At Tupelo, Tupelo, MS 38801 | |
| Sylvia Blanchard | Nurse Practitioner | 109 Parkgate, Tupelo, MS 38801 | |
| Lloyd Perry Britt Jr. | Optometry | 2270 W Main, Suite A, Tupelo, MS 38801-3144 | |
| Katie Elizabeth Richardson | Optometry | 2005 W Main St, Suite 102, Tupelo, MS 38801-3214 | |
| Rickey H Bullard | Podiatry | 1902 W Main St, Tupelo, MS 38801-3228 | |
| Chika Uchechukwu Iwueke | Psychiatry | 1601 W Main St, Suite D, Tupelo, MS 38801-3300 | |
| James Byron Shipp | Ophthalmology | 1413 W Main St, Tupelo, MS 38801-3400 | |
| Michelle M Hill | Qualified Speech Language Pathologist | Ear, Nose and Throat Physicians of North Miss., P.a | 323 N Gloster St, Tupelo, MS 38801-3623 |
| Janet H Smith | Physical Therapy | Ear, Nose and Throat Physicians of North Miss., P.a | 323 N Gloster St, Tupelo, MS 38801-3623 |
| Lee A Stewart | Physical Therapy | Ear, Nose and Throat Physicians of North Miss., P.a | 323 N Gloster St, Tupelo, MS 38801-3623 |
| Find all physicians in zip 38801 | |||
| City | TUPELO |
| Zip Code | 38801 |
| Specialty | DERMATOLOGY |
| City + Specialty | TUPELO + DERMATOLOGY |
Please comment or provide details below to improve the information on Bradley N Greenhaw.
| 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.