| Dr Bradley J Hart, MD | |
|
301 N Preston Rd Ste D, Prosper, TX 75078-8878 | |
| (469) 750-2277 | |
| (469) 750-2886 |
| Full Name | Dr Bradley J Hart |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 22 Years |
| Location | 301 N Preston Rd Ste D, Prosper, Texas |
| 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 |
|---|---|---|---|
| 1982644696 | NPI | - | NPPES |
| 1828626-01 | Medicaid | TX | |
| 8W0853 | Other | TX | BC/BS OF TEXAS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | M3575 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vitality Vein Care | 9335564483 | 4 |
| Entity Name | Vitality Vein Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578186235 PECOS PAC ID: 9335564483 Enrollment ID: O20200806000424 |
| Entity Name | Emergent Surgical Solutions Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831860758 PECOS PAC ID: 7810386448 Enrollment ID: O20211119000483 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bradley J Hart, MD 5425 W Spring Creek Pkwy Ste 205, Plano, TX 75024-4236 Ph: (972) 665-6501 | Dr Bradley J Hart, MD 301 N Preston Rd Ste D, Prosper, TX 75078-8878 Ph: (469) 750-2277 |
Mrs. Anthonia D Adewole, M.D Surgery Medicare: Accepting Medicare Assignments Practice Location: 2120 Prairie Dr Ste 502, Prosper, TX 75078 Phone: 469-447-4893 Fax: 469-447-4925 | |
Dr. Sifrance Tran, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 4200 W University Dr, Prosper, TX 75078 Phone: 682-303-4200 Fax: 682-303-4242 | |
Dr. Kanika Alake Bowen-jallow, MD Surgery Medicare: Medicare Enrolled Practice Location: 4200 W University Dr, Prosper, TX 75078 Phone: 682-303-4200 |