| Bradley Allen Irvin, | |
|
4185 Willow Way, Morristown, TN 37814-1611 | |
| (423) 248-4972 | |
| Not Available |
| Full Name | Bradley Allen Irvin |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 4185 Willow Way, Morristown, 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 |
|---|---|---|---|
| 1629584917 | NPI | - | NPPES |
| 3749PA | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 3029 (South Carolina) | Primary |
| 363A00000X | Physician Assistant | (NU) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trident Medical Center | Charleston, SC | Hospital |
| Aiken Regional Medical Center | Aiken, SC | Hospital |
| Colleton Medical Center | Walterboro, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cogent Healthcare Of Georgia Pc | 2961483607 | 252 |
| Intensive Care Consortium Inc | 0244269413 | 485 |
| Entity Name | Apogee Medical Group South Carolina |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619028545 PECOS PAC ID: 8921193020 Enrollment ID: O20071004000474 |
| Entity Name | Sound Physicians of South Carolina, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922428358 PECOS PAC ID: 6800014762 Enrollment ID: O20140905002528 |
| Entity Name | Cogent Healthcare of Georgia PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609827823 PECOS PAC ID: 2961483607 Enrollment ID: O20151015001850 |
| Entity Name | Prisma Health Medical Group-midlands |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275988321 PECOS PAC ID: 5991099707 Enrollment ID: O20160802001226 |
| Entity Name | Sound Physicians Emergency Medicine of South Carolina LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730636168 PECOS PAC ID: 2163702739 Enrollment ID: O20161219000460 |
| Entity Name | Intensive Care Consortium Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629019062 PECOS PAC ID: 0244269413 Enrollment ID: O20180924002251 |
| Entity Name | Sound Physicians Intensivists of South Carolina LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962045401 PECOS PAC ID: 4385079060 Enrollment ID: O20200128000539 |
| Entity Name | MUSC Community Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley Allen Irvin, 4185 Willow Way, Morristown, TN 37814-1611 Ph: Not Available | Bradley Allen Irvin, 4185 Willow Way, Morristown, TN 37814-1611 Ph: (423) 248-4972 |
Sarah Katelyn Brooks, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 291 S Daisy St, Morristown, TN 37813 Phone: 423-616-8315 Fax: 423-616-8316 |
Mr. Daniel James Martin, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1907 W. Morris Blvd, Suite B, Morristown, TN 37813 Phone: 423-587-2707 Fax: 423-587-3224 |
Nathan Wicker, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 420 W Morris Blvd Ste 400d, Morristown, TN 37813 Phone: 423-581-5925 |
Mr. Mark W Ingram, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 908 West North 4th St, Morristown, TN 37813 Phone: 423-586-4995 |
Claude D Ray, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1410 Doyal Dr, Morristown, TN 37814 Phone: 423-318-9202 Fax: 423-318-9206 |
Karie Hall, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 908 W 4th North St, Morristown, TN 37814 Phone: 423-492-9000 |
Dillon Tyler Gibson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: Healthstar Physicians, 420 W. Morris Blvd Suite 400d, Morristown, TN 37813 Phone: 423-586-7509 |