Bradley Rene Martin, MD | |
920 Doug White Dr Ste 250, Myrtle Beach, SC 29572-4181 | |
(843) 236-1950 | |
(843) 236-1952 |
Full Name | Bradley Rene Martin |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 920 Doug White Dr Ste 250, Myrtle Beach, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487639456 | NPI | - | NPPES |
0688788 | Medicaid | OH | |
MA0614881 | Other | OH | MEDICARE ID |
0614884 | Other | OH | MEDICARE ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0200X | Internal Medicine - Critical Care Medicine | 89592 (South Carolina) | Secondary |
207R00000X | Internal Medicine | 89592 (South Carolina) | Primary |
Entity Name | Coastal Carolina Primary Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821257676 PECOS PAC ID: 3577629088 Enrollment ID: O20090309000437 |
Mailing Address | Practice Location Address |
---|---|
Bradley Rene Martin, MD 920 Doug White Dr Ste 250, Myrtle Beach, SC 29572-4181 Ph: (843) 236-1950 | Bradley Rene Martin, MD 920 Doug White Dr Ste 250, Myrtle Beach, SC 29572-4181 Ph: (843) 236-1950 |
Gary A Vukov, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 7900 N Kings Hwy, Myrtle Beach, SC 29572 Phone: 843-449-3381 Fax: 843-839-0275 | |
Gregory L Becker, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 906 Medical Cir, Myrtle Beach, SC 29572 Phone: 843-497-5929 Fax: 843-839-1037 | |
Andrew Peter Mangano, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 920 Doug White Dr Ste 250, Myrtle Beach, SC 29572 Phone: 843-236-1950 Fax: 843-236-1952 | |
Dr. Eunice Luz Guzman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4220 Carolina Exchange Dr, Myrtle Beach, SC 29579 Phone: 843-663-8371 | |
Jacob Hurlan Brazee, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4301 Dick Pond Rd, Myrtle Beach, SC 29588 Phone: 843-652-8100 Fax: 843-652-8122 | |
Dr. Emily Zaruhi Touloukian, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8121 Rourk St, Myrtle Beach, SC 29572 Phone: 843-692-5000 | |
Dr. Jocelyn A Myers, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 945 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-497-5929 |