Bradley C Fry, MD | |
154 Cude Ln, Madison, TN 37115-2202 | |
(615) 865-6268 | |
(615) 868-7378 |
Full Name | Bradley C Fry |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 154 Cude Ln, Madison, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376621607 | NPI | - | NPPES |
3018501 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 16841 (Tennessee) | Primary |
Entity Name | Nashville Anesthesia Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225081805 PECOS PAC ID: 1557350501 Enrollment ID: O20040601001098 |
Mailing Address | Practice Location Address |
---|---|
Bradley C Fry, MD Po Box 488, Madison, TN 37116-0488 Ph: (615) 865-6268 | Bradley C Fry, MD 154 Cude Ln, Madison, TN 37115-2202 Ph: (615) 865-6268 |
Stephen J Obermeier, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 154 Cude Ln, Madison, TN 37115 Phone: 615-865-6268 Fax: 615-868-7378 | |
Charles S Buntin, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 154 Cude Ln, Madison, TN 37115 Phone: 615-865-6268 Fax: 615-868-7378 | |
Courtney Lashon Sublett, RN Anesthesiology Medicare: Medicare Enrolled Practice Location: 501 Riverchase Blvd, Madison, TN 37115 Phone: 757-373-7079 | |
Jay M Ura, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 154 Cude Ln, Madison, TN 37115 Phone: 615-865-6268 Fax: 615-868-7378 | |
James Schuler, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 154 Cude Ln, Madison, TN 37115 Phone: 615-865-6268 Fax: 615-868-7378 | |
John M Levoy, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 154 Cude Ln, Madison, TN 37115 Phone: 615-865-6268 Fax: 615-868-7378 |