| Bradley Tatko, DO | |
|
22580 Highway 76 E Ste 100, Laurens, SC 29360-8460 | |
| (864) 833-5986 | |
| Not Available |
| Full Name | Bradley Tatko |
|---|---|
| Gender | Male |
| Speciality | Family Medicine - Sports Medicine |
| Location | 22580 Highway 76 E Ste 100, Laurens, 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 |
|---|---|---|---|
| 1285372243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | 87708 (South Carolina) | Primary |
| 207Q00000X | Family Medicine | 87708 (South Carolina) | Secondary |
| Entity Name | Self Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982836847 PECOS PAC ID: 6002953916 Enrollment ID: O20091027000071 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley Tatko, DO 104 Wells Ave, Greenwood, SC 29646-3837 Ph: (864) 725-4673 | Bradley Tatko, DO 22580 Highway 76 E Ste 100, Laurens, SC 29360-8460 Ph: (864) 833-5986 |
Kenneth David Kiser, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 106 Parkview Dr, Laurens, SC 29360 Phone: 864-984-0571 Fax: 864-984-3610 | |
Dr. Nathanael Ricardo Benitez, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 106 Parkview Dr, Laurens, SC 29360 Phone: 864-984-0571 Fax: 864-984-3610 | |
Louis M Stephens, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 22580 Highway 76 E, Suite 100, Laurens, SC 29360 Phone: 864-833-5986 Fax: 864-833-0599 | |
Dr. Catherine Joanne Brownlee, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 209 Lucas Avenue, Laurens, SC 29360 Phone: 864-984-7561 Fax: 864-984-1195 | |
Melmoth Suhr Patterson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 106 Parkview Dr, Laurens, SC 29360 Phone: 864-984-0571 | |
Cecil Y Brown, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 314 W Farley Ave, Laurens, SC 29360 Phone: 864-984-0502 |