| Bradley F Sumrall, PA-C | |
|
255 Baptist Blvd, Suite 401, Columbus, MS 39705-2011 | |
| (662) 244-2288 | |
| (662) 244-2289 |
| Full Name | Bradley F Sumrall |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | 255 Baptist Blvd, Columbus, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215971288 | NPI | - | NPPES |
| 04729081 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA00066 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley F Sumrall, PA-C Po Box 405827, Atlanta, GA 30384-5827 Ph: (870) 934-5821 | Bradley F Sumrall, PA-C 255 Baptist Blvd, Suite 401, Columbus, MS 39705-2011 Ph: (662) 244-2288 |
Daniel Hubbard, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 201 Independence, Columbus, MS 39710 Phone: 662-434-2273 | |
Leah Ashley Macias, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 670 Leigh Dr, Columbus, MS 39705 Phone: 662-328-1012 Fax: 662-328-1507 | |
Mackenzie Jones, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2520 5th St N, Columbus, MS 39705 Phone: 662-244-1000 | |
Mrs. Shannon Johnson Younger, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 724 Leigh Dr, Columbus, MS 39705 Phone: 662-328-3375 Fax: 662-328-3395 | |
Monica Faye Wolf, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 255 Baptist Blvd Ste 401, Columbus, MS 39705 Phone: 662-244-2288 | |
Mrs. Aynsley Elizabeth Bailey, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 670 Leigh Dr, Columbus, MS 39705 Phone: 662-328-1012 |