DR. ROBERT ANDREW BRADLEY (NPI# 1164401287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164401287 |
| Entity Type | Individual |
| Full Name | DR. ROBERT ANDREW BRADLEY |
| Credential | MD |
| Practice Address |
235 S Church St Athens GA 30605-1054 |
| Practice Telephone | 4787319831 |
| Practice Fax Number | 7068506852 |
| Mailing Telephone | 4787319831 |
| Mailing Fax Number | 7068506852 |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2019-10-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
025725 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000290056A | 05 | |
| GA | BCBS | 07991 | 01 |
| GA | WELLCARE | 345259 | 01 |
| GA | TRICARE | 58-1267100 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164085544 | Robert Bradley | Acupuncturist | 3405 Lewiston Rd Ste E, Greensboro, NC 27410-9827 | 2019-04-21 |
| 1477009074 | Robert Bradley | Specialist | 1609 E Palmdale Blvd Ste E, Palmdale, CA 93550-4881 | 2016-09-01 |
| 1053676205 | Robert Littleton Bradley | Specialist/Technologist | 23 Border Ave, Simpsonville, SC 29680-7387 | 2012-07-12 |
| 1508173220 | Robert J Bradley | Massage Therapist | 2901 W Busch Blvd Ste 407, Tampa, FL 33618-4566 | 2010-09-01 |
| 1770604936 | Robert Bradley | Dentist | 138 Junction Rd, Madison, WI 53717-2687 | 2007-04-03 |
| 1639297633 | Robert Frederick Bradley | Dentist | 1614 W Lafayette, Jacksonville, IL 62650-0000 | 2007-03-27 |
| 1386714079 | Robert Ray Bradley Jr. | Social Worker | 751 Thimble Shoals Blvd, Suite K, Newport News, VA 23606-3563 | 2006-11-09 |
| 1689603094 | Robert Graydon Bradley | Specialist | 7502 State Road, Suite 1180, Cincinnati, OH 45255-2800 | 2006-06-30 |
| 1619969003 | Robert Wayne Bradley | Specialist | 2692 W Walnut St, Suite 105, Garland, TX 75042-6474 | 2005-08-22 |
| 1578183968 | Robert Bradley | Nurse Practitioner | 525 S Schwartz Ave, Farmington, NM 87401-5955 | 2020-04-26 |
| Street Address |
235 S CHURCH ST |
| City | ATHENS |
| State | GA |
| Zip Code | 30605-1054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811413701 | Lifecare Pharmacy Ga Corp | Pharmacy | 130 Gains School Rd, Athens, GA 30605 | 2017-08-22 |
| 1194245423 | Melissa Brooke Wilson | Speech-Language Pathologist | 345 Research Drive Apartment 76, Athens, GA 30605 | 2017-06-27 |
| 1467982512 | Beth Kay Mcdonald | Counselor | 455 S Lumpkin St, Athens, GA 30605 | 2017-06-12 |
| 1841741063 | Jessica Parker | Specialist | 1060 Gaines School Rd, Suite A4c, Athens, GA 30605 | 2016-10-24 |
| 1417374869 | Northeast Georgia Wellness Associates, LLC | Dietitian, Registered | 1197 Cedar Shoals Drive #103, Athens, GA 30605 | 2014-03-24 |
| 1245571272 | Optimum Medical Healthcare | Durable Medical Equipment & Medical Supplies | 1715 Cedar Shoals Drive, Athens, GA 30605 | 2013-03-15 |
| 1972850709 | Sandra Joy Motte | Occupational Therapy Assistant | 275 Woodgrove Dr, Athens, GA 30605 | 2012-08-10 |
| 1124309851 | Kasey Brown | Social Worker | 188 S. Milledge Ave., Suite 2, Athens, GA 30605 | 2011-09-08 |
| 1154652071 | Chris Mayo Counseling and Psychotherapy, Lcsw, LLC | Social Worker | 135 Milford Dr, Athens, GA 30605 | 2010-01-15 |
| 1700039732 | Andrew Case | Psychologist | 105a Cedar Rock Trace, Suite 5, Athens, GA 30605 | 2008-11-04 |
| Find all providers in zip 30605 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295024099 | Jacqueline Ann Torell | Pathology | 134 Rosedale, Athens, TX 75751-3625 | 2011-04-01 |
| 1922088731 | James R Ogburn Jr. | Pathology | 134 Rosedale Dr, Athens, TX 75751-3625 | 2006-01-18 |
| 1033197074 | Keith L Fisher | Pathology | 1114 West Madison Ave, Athens, TN 37371 | 2006-01-09 |
| 1144214156 | Kenneth Rand Lamm | Pathology | 1114 W Madison Ave, Athens, TN 37303-4150 | 2005-09-06 |
| 1386039832 | Elliott Boyd Burdette | Pathology | 1199 Prince Ave, Athens, GA 30606-2797 | 2015-04-01 |
| 1568730513 | Lab Direct, LLC | Pathology | 134 Rosedale, Athens, TX 75751-3625 | 2011-12-06 |
| 1942437116 | East Texas Pathology Laboratories | Pathology | 134 Rosedale Dr, Athens, TX 75751-3625 | 2009-06-16 |
| 1669637773 | Hardman Pathology Adx, LLC | Pathology | 110 Trinity Pl, Athens, GA 30607-2118 | 2008-07-29 |
| 1891984910 | Santi Kommareddi | Pathology | 75 Hospital Dr, Ste 370, Athens, OH 45701-2857 | 2007-10-15 |
| 1154445419 | Eastern Texas Pathology Laboratories, LLC | Pathology | 134 Rosedale Dr, Athens, TX 75751-3625 | 2007-03-19 |
| Find all providers in ATHENS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.