| Dr Shannon S Bradley, MD | |
|
3100 N 11th St Ste 1, Bismarck, ND 58503-1210 | |
| (701) 751-2272 | |
| Not Available |
| Full Name | Dr Shannon S Bradley |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 29 Years |
| Location | 3100 N 11th St Ste 1, Bismarck, North Dakota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225082647 | NPI | - | NPPES |
| 160051292 | Other | ND | MEDICARE RAILROAD |
| 11308 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207VG0400X | Obstetrics & Gynecology - Gynecology | 8469 (North Dakota) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 8469 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chi St Alexius Health | Bismarck, ND | Hospital |
| Sanford Medical Center Bismarck | Bismarck, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bradley Gynecology Pc | 2163961855 | 6 |
| Entity Name | Bradley Gynecology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770332975 PECOS PAC ID: 2163961855 Enrollment ID: O20240826003256 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shannon S Bradley, MD 3100 N 11th St Ste 1, Bismarck, ND 58503-1210 Ph: (701) 751-2272 | Dr Shannon S Bradley, MD 3100 N 11th St Ste 1, Bismarck, ND 58503-1210 Ph: (701) 751-2272 |
Rachel Marohl, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1000 E Rosser Ave, Bismarck, ND 58501 Phone: 701-712-4500 | |
Dr. Jessica D Sedevie, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 414 N 7th St, Bismarck, ND 58501 Phone: 701-323-5441 | |
Dr. Jerry M Obritsch, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1000 E Rosser Ave, Bismarck, ND 58501 Phone: 701-712-4500 Fax: 701-712-4098 | |
Dr. Peter L Klemin, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 414 N. 7th St., Medcenter One, Inc., Bismarck, ND 58501 Phone: 701-323-5870 Fax: 701-323-5869 | |
Peter A.u. Woodrow, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 414 N 7th St, Bismarck, ND 58501 Phone: 701-323-6543 Fax: 701-323-5709 | |
Laura Elizabeth Knutson, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1000 E Rosser Ave, Bismarck, ND 58501 Phone: 701-712-4541 Fax: 701-712-4191 |