| Mr Bradley Len Icard, | |
|
205 Page Rd, Pinehurst, NC 28374-8798 | |
| (910) 295-5511 | |
| Not Available |
| Full Name | Mr Bradley Len Icard |
|---|---|
| Gender | Male |
| Speciality | Pulmonary Disease |
| Experience | 12 Years |
| Location | 205 Page Rd, Pinehurst, North Carolina |
| 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 |
|---|---|---|---|
| 1720320898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RP1001X | Internal Medicine - Pulmonary Disease | 2019-00429 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Firsthealth Moore Regional Hospital | Pinehurst, NC | Hospital |
| Moses H. Cone Memorial Hospital, The | Greensboro, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mcpc-18, Llc | 2668741208 | 30 |
| Pinehurst Medical Clinic Inc | 5991617169 | 164 |
| Entity Name | Pinehurst Medical Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255388369 PECOS PAC ID: 5991617169 Enrollment ID: O20031105000305 |
| Entity Name | Moses Cone Medical Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427095249 PECOS PAC ID: 2769395458 Enrollment ID: O20040128000519 |
| Entity Name | The Moses H Cone Memorial Hospital Operating Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013265909 PECOS PAC ID: 6204744600 Enrollment ID: O20121003000518 |
| Entity Name | Mcpc-18, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295262103 PECOS PAC ID: 2668741208 Enrollment ID: O20170713000014 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Bradley Len Icard, 205 Page Rd, Pinehurst, NC 28374-8798 Ph: (910) 295-5511 | Mr Bradley Len Icard, 205 Page Rd, Pinehurst, NC 28374-8798 Ph: (910) 295-5511 |
Michael A Pritchett, D.O. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 205 Page Road, Pinehurst, NC 28374 Phone: 910-295-9359 Fax: 910-235-3401 | |
Bobby R Maynor Jr., MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 15 Regional Dr, Pinehurst, NC 28374 Phone: 910-255-4400 Fax: 910-420-1604 | |
Francis Farrell Collins Jr., MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 205 Page Rd, Pinehurst, NC 28374 Phone: 910-295-9359 Fax: 910-235-3419 | |
Kristina Maria Catania, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 155 Memorial Dr, Pinehurst, NC 28374 Phone: 910-715-7984 | |
Dr. Scott D Skibo, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 205 Page Rd, Pinehurst, NC 28374 Phone: 102-955-5119 Fax: 910-235-3421 | |
David F Martin, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 15 Regional Dr, Pinehurst, NC 28374 Phone: 910-295-9207 Fax: 910-235-3432 | |
Charles Samuel Kuzma, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 220 Page Rd, Pinehurst, NC 28374 Phone: 910-715-3500 Fax: 910-715-3501 |