| Bradie N Bishop, MD | |
|
307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | |
| (850) 883-8600 | |
| Not Available |
| Full Name | Bradie N Bishop |
|---|---|
| Gender | Female |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 307 Boatner Rd Ste 114, Eglin Afb, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972953727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 30564 (Nebraska) | Primary |
| Entity Name | Pathology Specialists Of New England,pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639185846 PECOS PAC ID: 9436199692 Enrollment ID: O20050506000153 |
| Entity Name | Forward Pathology Solutions - New Hampshire Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255960522 PECOS PAC ID: 3274950266 Enrollment ID: O20200908000848 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradie N Bishop, MD 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 Ph: (850) 883-8600 | Bradie N Bishop, MD 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 Ph: (850) 883-8600 |
Dr. Jonathan W Mcclain, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 307 Boatner Rd, Eglin Afb, FL 32542 Phone: 702-653-2801 | |
Felix Mamani, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 307 Boatner Rd, Ste 114, Eglin Afb, FL 32542 Phone: 850-883-8473 Fax: 850-883-9275 | |
Elena V Baker, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 307 Boatner Rd Ste 114, Eglin Afb, FL 32542 Phone: 850-883-8600 | |
Sarah L Jelliffe, D.O. Pathology Medicare: Accepting Medicare Assignments Practice Location: 307 Boatner Rd Ste 114, Eglin Afb, FL 32542 Phone: 850-883-9248 | |
Jennifer Lynne Lazarowicz, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 307 Boatner Rd, Suite 114, Eglin Afb, FL 32542 Phone: 850-883-8473 Fax: 850-883-9246 |