Miss Lauren Bradford, MD | |
Medical Center Blvd, Winston Salem, NC 27157-7220 | |
(336) 716-4500 | |
(336) 713-4501 |
Full Name | Miss Lauren Bradford |
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Gender | Female |
Speciality | Pediatrics - Pediatric Pulmonology |
Location | Medical Center Blvd, Winston Salem, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790162774 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 209892 (North Carolina) | Secondary |
2080P0214X | Pediatrics - Pediatric Pulmonology | 2018-00867 (North Carolina) | Primary |
Entity Name | Wake Forest University Health Sciences |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
Mailing Address | Practice Location Address |
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Miss Lauren Bradford, MD Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 713-4500 | Miss Lauren Bradford, MD Medical Center Blvd, Winston Salem, NC 27157-7220 Ph: (336) 716-4500 |
Niyati Mahajan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2295 E 14th St, Winston Salem, NC 27105 Phone: 336-713-8860 Fax: 336-713-8862 | |
Dr. Soren Morgan Johnson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1350 Whitaker Ridge Dr, Winston Salem, NC 27106 Phone: 336-718-8000 Fax: 336-718-8011 | |
Jane Meschan Foy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
Modupeola O Akinola, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
David Scott Anderson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1350 Whitaker Ridge Dr, Winston Salem, NC 27106 Phone: 336-718-8000 Fax: 336-718-8011 | |
Dr. Veronica Nicola Wiltshire, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3333 Brookview Hills Blvd Ste 201, Winston Salem, NC 27103 Phone: 336-713-8660 Fax: 336-702-9276 | |
Mrs. Julie Renee Kerth, CPNP-AC Pediatrics Medicare: Medicare Enrolled Practice Location: Wake Forest Baptist Medical Center 1, Winston Salem, NC 27157 Phone: 336-713-4500 |