Mr Daniel C Bradberry, | |
110 29th Ave N, Suite 202, Nashville, TN 37203-1401 | |
(615) 327-7870 | |
(615) 921-5506 |
Full Name | Mr Daniel C Bradberry |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 8 Years |
Location | 110 29th Ave N, Nashville, Tennessee |
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 |
---|---|---|---|
1043671647 | NPI | - | NPPES |
Q022209 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 178536 (Tennessee) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 21246 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tristar Centennial Medical Center | Nashville, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia Medical Group, P.c. | 6901702307 | 442 |
Entity Name | Anesthesia Medical Group, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215932413 PECOS PAC ID: 6901702307 Enrollment ID: O20031208000822 |
Mailing Address | Practice Location Address |
---|---|
Mr Daniel C Bradberry, 110 29th Ave N, Suite 202, Nashville, TN 37203-1401 Ph: (615) 327-7870 | Mr Daniel C Bradberry, 110 29th Ave N, Suite 202, Nashville, TN 37203-1401 Ph: (615) 327-7870 |
Amanda B Dickert I, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1215 21st Ave S, Nashville, TN 37232 Phone: 615-343-6336 Fax: 615-343-1966 | |
Charles Ryan Swafford, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4230 Harding Pike, Suite 435, Nashville, TN 37205 Phone: 615-385-3704 Fax: 615-292-1321 | |
Jana Koehn, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4 Academy Pl Apt 307, Nashville, TN 37210 Phone: 316-243-7921 | |
Jon Schwindt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 110 29th Ave N, Ste 202, Nashville, TN 37203 Phone: 615-327-4304 | |
Mrs. Misty Coggins Handy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 110 29th Ave N, Ste 202, Nashville, TN 37203 Phone: 615-327-4304 | |
Joshua Lemay, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 110 29th Ave N, Suite 202, Nashville, TN 37203 Phone: 615-327-4304 Fax: 615-327-7940 | |
Jonathan Keith Allgood, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4230 Harding Pike, Suite 435, Nashville, TN 37205 Phone: 615-385-3704 Fax: 615-292-1321 |