| William B Bradford, MD | |
|
2114 N Jackson St, Tullahoma, TN 37388-2208 | |
| (931) 454-9423 | |
| (931) 454-9690 |
| Full Name | William B Bradford |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 36 Years |
| Location | 2114 N Jackson St, Tullahoma, Tennessee |
| 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 |
|---|---|---|---|
| 1396748877 | NPI | - | NPPES |
| 3867811 | Medicaid | TN | |
| 4019082 | Other | TN | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | MD0000025802 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carle Health Methodist Hospital | Peoria, IL | Hospital |
| Carle Health Pekin Hospital | Pekin, IL | Hospital |
| Carle Health Proctor Hospital | Peoria, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Methodist Medical Center Of Illinois | 1355259714 | 387 |
| Carle Health Care Incorporated | 3577515774 | 1592 |
| Entity Name | Methodist Medical Center of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982656575 PECOS PAC ID: 1355259714 Enrollment ID: O20031126000494 |
| Entity Name | Carle Health Care Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
| Mailing Address | Practice Location Address |
|---|---|
| William B Bradford, MD Dept 0765, Po Box 11407, Birmingham, AL 35246-0765 Ph: (256) 383-3325 | William B Bradford, MD 2114 N Jackson St, Tullahoma, TN 37388-2208 Ph: (931) 454-9423 |
Lauren Michelle Kropp, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2230 N Jackson St Ste 100, Tullahoma, TN 37388 Phone: 931-454-9002 |
Joel Stanley Birdwell, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1801 N Jackson St, Tullahoma, TN 37388 Phone: 931-393-3000 Fax: 931-393-7806 |