| Bradley Sieckman, | |
| 106 Physicians Dr, Greer, SC 29650-2445 | |
| (864) 797-9100 | |
| (864) 241-9239 | 
| Full Name | Bradley Sieckman | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics | 
| Location | 106 Physicians Dr, Greer, South Carolina | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1083077184 | NPI | - | NPPES | 
| 822701 | Medicaid | SC | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 82270 (South Carolina) | Primary | 
| Entity Name | Prisma Health University Medical Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Bradley Sieckman, 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 533-8603 | Bradley Sieckman, 106 Physicians Dr, Greer, SC 29650-2445 Ph: (864) 797-9100 | 
| Michelle Rene Viglianco-vanpelt, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 325 Medical Pkwy, Suite 150, Greer, SC 29650 Phone: 864-797-9300 Fax: 864-849-9196 | |
| Hajar Raissi-fard, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 111 Memorial Dr, Pediatric Center, Greer, SC 29650 Phone: 864-848-7005 Fax: 864-848-3666 | |
| Dr. Jaqwiana Samia Baker, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 106 Physicians Dr, Greer, SC 29650 Phone: 864-797-9100 Fax: 864-241-9239 | |
| Dr. Edward H Hausladen, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 554 Memorial Drive Ext, Suite C, Greer, SC 29651 Phone: 864-879-3883 Fax: 864-848-3492 | |
| James Raff, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 319 S Buncombe Rd, Greer, SC 29650 Phone: 864-877-3883 Fax: 864-284-0844 | |
| Dr. James Bartlette Key, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 554 Memorial Drive Ext, Suite C, Greer, SC 29651 Phone: 864-879-3883 Fax: 864-848-3492 |