Jonathan F Bradley, MD | |
205 N East Ave, Jackson, MI 49201-1753 | |
(517) 788-4800 | |
(517) 796-6410 |
Full Name | Jonathan F Bradley |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 205 N East Ave, Jackson, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063463552 | NPI | - | NPPES |
104866256 | Medicaid | MI | |
P00315403 | Other | MI | RR MEDIACRE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 01081482A (Indiana) | Secondary |
207P00000X | Emergency Medicine | 4301074228 (Michigan) | Primary |
Entity Name | Kalamazoo Emergency Associates, Plc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942251244 PECOS PAC ID: 5890685473 Enrollment ID: O20040317001078 |
Entity Name | Sturgis Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255668893 PECOS PAC ID: 5395884621 Enrollment ID: O20100213000070 |
Entity Name | Degara App Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265976971 PECOS PAC ID: 7618251398 Enrollment ID: O20170223001941 |
Entity Name | Cep America Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912687328 PECOS PAC ID: 6608056171 Enrollment ID: O20230815000906 |
Entity Name | Elite Emergency Physicians Of Michigan Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427730050 PECOS PAC ID: 2365897725 Enrollment ID: O20231005000836 |
Mailing Address | Practice Location Address |
---|---|
Jonathan F Bradley, MD Depatment 272801, Po Box 67000, Detroit, MI 48267-2728 Ph: (517) 841-6913 | Jonathan F Bradley, MD 205 N East Ave, Jackson, MI 49201-1753 Ph: (517) 788-4800 |
Kevin Killian, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-205-4800 | |
Deepa S Macha, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-788-4996 Fax: 517-796-6410 | |
Dr. Gregory W Fuller, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1006 Airport Rd, Jackson, MI 49202 Phone: 517-784-6663 Fax: 517-787-7976 | |
Dr. Brett Mcknight Russell, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-788-4800 | |
David Farhat, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-788-4996 Fax: 517-796-6410 | |
Joseph Peter Farrell, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 N Elm Ave, Jackson, MI 49202 Phone: 517-788-6760 Fax: 517-788-3029 |