William R Bradford, MD | |
3 Audubon Plaza Dr Ste 230, Louisville, KY 40217-1319 | |
(502) 636-0574 | |
(502) 636-0579 |
Full Name | William R Bradford |
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Gender | Male |
Speciality | Surgery |
Location | 3 Audubon Plaza Dr Ste 230, Louisville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659488724 | NPI | - | NPPES |
64219769 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
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208600000X | Surgery | 21976 (Kentucky) | Primary |
Entity Name | Community Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588614994 PECOS PAC ID: 7012811284 Enrollment ID: O20031120000656 |
Mailing Address | Practice Location Address |
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William R Bradford, MD Po Box 776351, Chicago, IL 60677-6351 Ph: (502) 588-9490 | William R Bradford, MD 3 Audubon Plaza Dr Ste 230, Louisville, KY 40217-1319 Ph: (502) 636-0574 |
Dr. Siddharth Pahwa, Surgery Medicare: Accepting Medicare Assignments Practice Location: 201 Abraham Flexner Way Ste 1200, Louisville, KY 40202 Phone: 502-588-7600 | |
Yousif El-gammal, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 225 Abraham Flexner Way Ste 850, Louisville, KY 40202 Phone: 502-562-0312 | |
Dr. Martha Trimble Mccoy, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 201 Abraham Flexner Way, Ste 902, Louisville, KY 40202 Phone: 502-583-5945 Fax: 502-583-1804 | |
Dr. Salem Michael George Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4003 Kresge Way, Suite 300, Louisville, KY 40207 Phone: 502-897-5139 Fax: 502-896-6218 | |
Dr. John N Olsofka, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4402 Churchman Ave, Ste 202, Louisville, KY 40215 Phone: 502-366-1090 Fax: 502-366-1564 | |
Jason Wayne Smith, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 401 E Chestnut St, Suite 710, Louisville, KY 40202 Phone: 502-583-8303 Fax: 502-584-0302 | |
Paula Reyes, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 225 Abraham Flexner Way Ste 850, Louisville, KY 40202 Phone: 502-562-0312 |