Bradford Wall, MD | |
15 Medical Dr Ne, Cartersville, GA 30121-8005 | |
(770) 386-5221 | |
(770) 386-1128 |
Full Name | Bradford Wall |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 20 Years |
Location | 15 Medical Dr Ne, Cartersville, Georgia |
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 |
---|---|---|---|
1568684975 | NPI | - | NPPES |
3709355 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 5956 (Kansas) | Secondary |
207X00000X | Orthopaedic Surgery | 062298 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cartersville Medical Center | Cartersville, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Georgia Bone And Joint Surgeons, P.c. | 2466449558 | 17 |
Entity Name | Georgia Bone & Joint Surgeons, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003879982 PECOS PAC ID: 2466449558 Enrollment ID: O20040429000938 |
Mailing Address | Practice Location Address |
---|---|
Bradford Wall, MD 15 Medical Dr Ne, Cartersville, GA 30121-8005 Ph: (770) 386-5221 | Bradford Wall, MD 15 Medical Dr Ne, Cartersville, GA 30121-8005 Ph: (770) 386-5221 |
Thad Riddle, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 15 Medical Dr Ne, Cartersville, GA 30121 Phone: 770-386-5221 | |
Dr. Scott D Gillogly, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 15 Medical Dr Ne Ste 101, Cartersville, GA 30121 Phone: 770-386-5221 Fax: 770-386-1128 | |
John Brunette, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 15 Medical Dr Ne, Cartersville, GA 30121 Phone: 770-386-5221 | |
Dr. Leonard L D'addesi, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 15 Medical Dr Ne Ste 101, Cartersville, GA 30121 Phone: 770-386-5221 Fax: 770-386-1128 | |
Charles Cha, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 15 Medical Dr Ne, Cartersville, GA 30121 Phone: 770-386-5221 | |
Eddie Atwell, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 15 Medical Dr Ne, Cartersville, GA 30121 Phone: 770-386-5221 Fax: 770-382-8327 |