Bradley Eric Johnson, DO | |
800 Spruce St, Philadelphia, PA 19107-6130 | |
(215) 829-5410 | |
Not Available |
Full Name | Bradley Eric Johnson |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 12 Years |
Location | 800 Spruce St, Philadelphia, Pennsylvania |
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 |
---|---|---|---|
1508126038 | NPI | - | NPPES |
0534650 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | OT014800 (Pennsylvania) | Secondary |
208M00000X | Hospitalist | 25MB09666100 (New Jersey) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Jefferson Stratford Hospital | Stratford, NJ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kennedy Medical Group Practice, P.c. | 2860616877 | 310 |
Entity Name | Atlanticare Physician Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093829608 PECOS PAC ID: 8527953660 Enrollment ID: O20040218000405 |
Entity Name | Kennedy Medical Group Practice, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952726796 PECOS PAC ID: 2860616877 Enrollment ID: O20140613000689 |
Mailing Address | Practice Location Address |
---|---|
Bradley Eric Johnson, DO 151 Fries Mill Rd Ste 301, Turnersville, NJ 08012-2016 Ph: (856) 513-4124 | Bradley Eric Johnson, DO 800 Spruce St, Philadelphia, PA 19107-6130 Ph: (215) 829-5410 |
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