| Robert Roland Bradford Iii, CRNA | |
|
100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | |
| (910) 450-4357 | |
| Not Available |
| Full Name | Robert Roland Bradford Iii |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 100 Brewster Blvd, Camp Lejeune, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124860408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 7463 (North Carolina) | Primary |
| Entity Name | Carolinaeast Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710923875 PECOS PAC ID: 1557272564 Enrollment ID: O20040311000538 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Roland Bradford Iii, CRNA 212 Elm Ct, Northbrook, IL 60062-1239 Ph: (816) 550-3794 | Robert Roland Bradford Iii, CRNA 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 Ph: (910) 450-4357 |
Dr. Jason Allan Patacsil, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4785 Fax: 910-450-4790 | |
Mr. John Carol Daniels Jr., CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 301-256-7157 | |
Dr. Justin Beryl Hefley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4288 | |
Paul David Cooper Jr., C.R.N.A. Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547 Phone: 910-450-4159 Fax: 910-450-4194 | |
Dr. Roger G Cason, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547 Phone: 910-450-3326 | |
Devon Nicole Kovacs, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4357 |