Stanley Bradley, MD | |
325 E Longview Street, Fayetteville, AR 72703-4618 | |
(479) 463-7385 | |
(479) 444-7120 |
Full Name | Stanley Bradley |
---|---|
Gender | Male |
Speciality | Hospice/palliative Care |
Experience | 43 Years |
Location | 325 E Longview Street, Fayetteville, Arkansas |
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 |
---|---|---|---|
1073579322 | NPI | - | NPPES |
103929001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | C-5957 (Arkansas) | Secondary |
207QH0002X | Family Medicine - Hospice And Palliative Medicine | C-5957 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Washington Regional Med Ctr Ho | Fayetteville, AR | Hospice |
Washington Regional Medical Center | Fayetteville, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Washington Regional Medical System | 8820995434 | 226 |
Entity Name | Washington Regional Medical System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306801485 PECOS PAC ID: 8820995434 Enrollment ID: O20051208000082 |
Mailing Address | Practice Location Address |
---|---|
Stanley Bradley, MD 325 E Longview Street, Fayetteville, AR 72703-4618 Ph: (479) 463-7385 | Stanley Bradley, MD 325 E Longview Street, Fayetteville, AR 72703-4618 Ph: (479) 463-7385 |
Mr. Eric P B Goodspeed, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 3215 N Northhills Blvd, Fayetteville, AR 72703 Phone: 479-463-7102 Fax: 479-463-7864 | |
Dustin Hoover, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 767 W North St, Fayetteville, AR 72701 Phone: 479-966-5088 Fax: 479-282-0469 | |
Dr. Larry D Coker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3399 Black Forest Dr, Suite 2, Fayetteville, AR 72704 Phone: 479-757-5056 Fax: 479-757-5057 | |
Dr. Carol A Fossey, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 525 N Garland Ave, Fayetteville, AR 72701 Phone: 479-575-6479 Fax: 479-575-8793 | |
Alfred Y Gordon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3340 N College Ave Ste 5, Fayetteville, AR 72703 Phone: 479-443-3536 Fax: 479-443-3933 | |
Miss Marielie Heidi Agesilas, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1125 N College Ave, Fayetteville, AR 72703 Phone: 479-521-8260 |