Dr Charles Shannon Bradford Jr, MD | |
1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | |
(678) 604-1000 | |
Not Available |
Full Name | Dr Charles Shannon Bradford Jr |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 14 Years |
Location | 1133 Eagles Landing Pkwy, Stockbridge, 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 |
---|---|---|---|
1811215643 | NPI | - | NPPES |
003136131A | Medicaid | GA | |
014816300 | Medicaid | FL | |
GA1558 | Medicaid | SC | |
P01207903 | Other | GA | RAILROAD MEDICARE |
P01476268 | Other | FL | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME123871 (Florida) | Secondary |
207R00000X | Internal Medicine | 070347 (Georgia) | Secondary |
208M00000X | Hospitalist | 070347 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Piedmont Henry Hospital | Stockbridge, GA | Hospital |
Northside Hospital | Atlanta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Piedmont Hospitalist Physicians Llc | 1951299163 | 303 |
Entity Name | Piedmont Hospitalist Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548219660 PECOS PAC ID: 1951299163 Enrollment ID: O20040309000820 |
Mailing Address | Practice Location Address |
---|---|
Dr Charles Shannon Bradford Jr, MD 35 Collier Rd Nw Ste 635, Atlanta, GA 30309-1611 Ph: (404) 367-3014 | Dr Charles Shannon Bradford Jr, MD 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 Ph: (678) 604-1000 |
Diana Kim, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 678-604-1000 | |
Asif N Tahir, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 678-604-1061 | |
Dr. Moyosore M. Suleiman, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1045 Southcrest Dr Ste 200, Stockbridge, GA 30281 Phone: 678-289-0549 Fax: 678-289-8756 | |
Pruthu P Patel, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 404-367-3014 | |
Xavier C Moore, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 147 N Park Trl, Stockbridge, GA 30281 Phone: 678-382-8091 |