| Bradley Alan Ebel, DO | |
|
770 Pine St Ste 290, Attn: Radiology Department, Macon, GA 31201-7516 | |
| (478) 743-1458 | |
| (478) 755-1332 |
| Full Name | Bradley Alan Ebel |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 30 Years |
| Location | 770 Pine St Ste 290, Macon, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053301879 | NPI | - | NPPES |
| 000910269B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 50158 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Warm Springs Medical Center | Warm springs, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Georgia West Imaging Pc | 3577556521 | 6 |
| Outpatient Imaging, Llc | 8022029149 | 17 |
| Griffin Imaging, Llc | 9436054129 | 13 |
| Gwinnett Clinic, Ltd | 9436061801 | 34 |
| Entity Name | Gwinnett Clinic, Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629117650 PECOS PAC ID: 9436061801 Enrollment ID: O20031104000266 |
| Entity Name | Health Services Of Central Georgia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184679482 PECOS PAC ID: 9638076730 Enrollment ID: O20031217000270 |
| Entity Name | Radiology Associates Of Macon Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679563035 PECOS PAC ID: 7113817701 Enrollment ID: O20040317001131 |
| Entity Name | Georgia West Imaging Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083689251 PECOS PAC ID: 3577556521 Enrollment ID: O20040406000257 |
| Entity Name | Georgia Magnetic Imaging Center Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114900545 PECOS PAC ID: 0042205775 Enrollment ID: O20040420000779 |
| Entity Name | Central Georgia Mri Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114908522 PECOS PAC ID: 5597752261 Enrollment ID: O20040427000147 |
| Entity Name | Outpatient Imaging, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053386219 PECOS PAC ID: 8022029149 Enrollment ID: O20060605000128 |
| Entity Name | Griffin Imaging, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700199940 PECOS PAC ID: 9436054129 Enrollment ID: O20101117000015 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley Alan Ebel, DO 770 Pine St Ste 290, Attn: Radiology Department, Macon, GA 31201-7516 Ph: (478) 743-1458 | Bradley Alan Ebel, DO 770 Pine St Ste 290, Attn: Radiology Department, Macon, GA 31201-7516 Ph: (478) 743-1458 |
Murray Charles Relf, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 770 Pine St Ste 290, Attn: Radiology Department, Macon, GA 31201 Phone: 478-743-1458 Fax: 478-755-1332 | |
Kazumi Chino, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 800 1st St Ste 110, Macon, GA 31201 Phone: 478-743-3466 Fax: 478-746-2049 | |
Kimberely J Windham-cope, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 Hospital Dr, Macon, GA 31217 Phone: 478-765-7000 | |
Thomas Franklin Glass Iii, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 770 Pine St Ste 290, Attn: Radiology Department, Macon, GA 31201 Phone: 478-743-1458 Fax: 478-755-1332 | |
Mark Edward Barrow, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 770 Pine Street, Suite 290, Macon, GA 31201 Phone: 478-751-5825 Fax: 478-755-1332 | |
Alan D Kirsh, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 770 Pine St, Suite 290, Macon, GA 31201 Phone: 478-743-0029 |