| Bradley Compton Wham, | |
|
1915 Lendew St Ste 100, Greensboro, NC 27408-7094 | |
| (363) 275-3325 | |
| (336) 275-5346 |
| Full Name | Bradley Compton Wham |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery - Sports Medicine |
| Location | 1915 Lendew St Ste 100, Greensboro, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194222067 | NPI | - | NPPES |
| 2024-02112 | Other | NC | NC MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 2024-02112 (North Carolina) | Secondary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 2024-02112 (North Carolina) | Primary |
| Entity Name | Southeastern Orthopaedic Specialists Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629012935 PECOS PAC ID: 4587568472 Enrollment ID: O20040225000980 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley Compton Wham, Po Box 5105, Belfast, ME 04915-5100 Ph: (919) 220-5255 | Bradley Compton Wham, 1915 Lendew St Ste 100, Greensboro, NC 27408-7094 Ph: (363) 275-3325 |
Peter G Dalldorf, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1915 Lendew St, Greensboro, NC 27408 Phone: 336-275-3325 Fax: 336-275-5346 | |
Dr. Matthew Adam Weingold, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2718 Henry St, Greensboro, NC 27405 Phone: 336-375-1007 Fax: 336-375-9615 | |
Dr. Gregory Tayrose, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3200 Northline Avenue, Suite 200, Greensboro, NC 27408 Phone: 336-545-5000 Fax: 336-545-5020 | |
Dr. Deepak Ramanathan, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3200 Northline Ave Ste 200, Greensboro, NC 27408 Phone: 336-545-5000 | |
Marcus V Duda, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1211 Virginia St, Greensboro, NC 27401 Phone: 133-627-5092 | |
Dr. Timothy Daniel Murphy, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1130 N Church St, Greensboro, NC 27401 Phone: 336-375-2300 | |
Kevin Patrick Haddix, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1321 New Garden Rd, Greensboro, NC 27410 Phone: 336-299-0099 Fax: 336-299-0080 |