Mr Bradley Martin, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Brookhaven, Mississippi. He graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Southern Bone And Joint Specialists Pa and his current practice location is
1014 Biglane Drive, Brookhaven, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 823-5276.
Mr Bradley Martin is licensed to practice in Mississippi (license number PA00053) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1841249489.
Provider's Profile
| Full Name | Mr Bradley Martin |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 20 Years |
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| Location | 1014 Biglane Drive, Brookhaven, Mississippi |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Bradley Martin graduated from nursing school in 2004
NPI Data:
- NPI Number: 1841249489
- Provider Enumeration Date: 05/10/2006
- Last Update Date: 01/27/2017
Medicare PECOS Information:
- PECOS PAC ID: 9830156827
- Enrollment ID: I20041210000761
Medical Identifiers
Medical identifiers for Mr Bradley Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841249489 | NPI | - | NPPES |
| 06974850 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AS0400X | Physician Assistant - Surgical | PA00053 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Southern Bone And Joint Specialists Pa | 1254328818 | 43 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Bradley Martin is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Bradley Martin, PA-C
1014 Big Lane Dr,
Brookhaven, MS 39601-2331
Ph: (601) 823-5276 | Mr Bradley Martin, PA-C
1014 Biglane Drive,
Brookhaven, MS 39601
Ph: (601) 823-5276 |
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