| Bradley Wilson Summerell, CRNA | |
|
417 W 3rd Ave, Albany, GA 31701-1943 | |
| (229) 312-1000 | |
| Not Available |
| Full Name | Bradley Wilson Summerell |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 417 W 3rd Ave, Albany, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962260224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN226363 (Georgia) | Primary |
| Entity Name | Phoebe Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley Wilson Summerell, CRNA 108 Argyll Pl, Albany, GA 31721-8754 Ph: (229) 886-1528 | Bradley Wilson Summerell, CRNA 417 W 3rd Ave, Albany, GA 31701-1943 Ph: (229) 312-1000 |
Kirby Kitchens, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2311 W Doublegate Dr, Albany, GA 31721 Phone: 229-888-2554 Fax: 229-888-2554 | |
Randall J Cannady, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-312-5800 Fax: 229-312-5853 | |
Misty Grimes, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-312-1000 | |
Terrance L Cannon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-439-9400 Fax: 229-436-3718 | |
Robert H Nelson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-312-1000 Fax: 312-312-1215 | |
Mrs. Lisa D Vallely, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2000 Palmyra Rd, Albany, GA 31701 Phone: 229-434-2161 Fax: 229-434-2502 | |
Terry Joe Durham, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 531 7th Ave, Albany, GA 31701 Phone: 229-438-9922 Fax: 229-438-9922 |