| Dr Douglas Damien Bradley, MD | |
|
700 Rahway Ave, Union, NJ 07083-6634 | |
| (908) 688-1999 | |
| (908) 688-8180 |
| Full Name | Dr Douglas Damien Bradley |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine |
| Location | 700 Rahway Ave, Union, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740280148 | NPI | - | NPPES |
| 0459801 | Medicaid | NJ | |
| 223537990 | Other | NJ | TAX ID # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | MANJ049904 (New Jersey) | Primary |
| Entity Name | The Back Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295848141 PECOS PAC ID: 1850330051 Enrollment ID: O20050427000843 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Douglas Damien Bradley, MD 700 Rahway Ave, Union, NJ 07083-6634 Ph: (908) 688-1999 | Dr Douglas Damien Bradley, MD 700 Rahway Ave, Union, NJ 07083-6634 Ph: (908) 688-1999 |
Dr. Kim Wright Sloan, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1000 Morris Ave, Kean Univ D'angola Gym #103, Union, NJ 07083 Phone: 908-737-5520 Fax: 908-737-5525 | |
Dr. Gregory Peter Charko, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 975 Lehigh Ave, Union, NJ 07083 Phone: 908-686-1488 Fax: 908-687-7886 | |
Dr. John A Faccone, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 900 Stuyvesant Ave, Union, NJ 07083 Phone: 908-964-6600 Fax: 908-936-4101 | |
Dr. David Eric Gross, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2333 Morris Ave, Suite A-115, Union, NJ 07083 Phone: 908-686-5444 Fax: 908-686-3599 | |
Dr. David S Wolkstein, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2333 Morris Ave, Suit A 9, Union, NJ 07083 Phone: 908-964-8550 | |
Gregory S Gallick, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2780 Morris Ave, Ste 2c, Union, NJ 07083 Phone: 908-686-6665 Fax: 908-686-5245 | |
Frederick Kennedy Gordon, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2500 Morris Ave, Suite 200, Union, NJ 07083 Phone: 908-688-8630 Fax: 908-688-0869 |