DR. BRADLEY W. BAKOTIC


Address: 2001 Westside Parkway, Suite 290, Alpharetta, GA 30004-8514
Phone: 8773767284

DR. BRADLEY W. BAKOTIC (NPI# 1295710754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295710754
Entity Type Individual
Full Name DR. BRADLEY W. BAKOTIC
Credential DO
Practice Address 2001 Westside Parkway
Suite 290
Alpharetta
GA 30004-8514
Mailing Address Po Box 6039
Falmouth
ME 04105-6039
Practice Telephone 8773767284
Practice Fax Number 7704750533
Mailing Telephone 8883023045
Mailing Fax Number 2073477401
Enumeration Date 2005-12-07
Last Update Date 2009-02-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ZD0900X Pathology
Specialization: Dermatopathology
048594 GA Allopathic & Osteopathic Physicians
N 207ZD0900X Pathology
Specialization: Dermatopathology
OS8431 FL Allopathic & Osteopathic Physicians
N 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
OS8431 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 262219000 05

Office Location

Street Address 2001 WESTSIDE PARKWAY
SUITE 290
City ALPHARETTA
State GA
Zip Code 30004-8514

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Taxonomy Information

Taxonomy Code 207ZD0900X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Dermatopathology

Taxonomy Definition

A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate was first issued by the ABMS in 1974. ACGME Accredited Residency Program Requirements: None.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639158389 Scott M Acker Pathology 6240 Shiloh Rd Ste B, Alpharetta, GA 30005-8347 2006-01-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871630350 Seth Ian Rosenthal Pathology 1901 Phoenix Blvd Ste 210, Atlanta, GA 30349-5062 2007-01-31
1780623785 Jessie Lee Pathology 175 White St Nw, Suite 370, Marietta, GA 30060-1053 2006-06-05
1295798320 Wayne L Bakotic Pathology 114 Mimosa Dr, Suite C, Thomasville, GA 31792-6677 2006-04-10
1134193774 Drazen M Jukic Pathology 5400 Sutlive St, Suite 3, Savannah, GA 31405-4721 2006-02-13
1093797144 Michael J Palko IIi Pathology 510 E Oglethorpe Hwy, Hinesville, GA 31313 2005-11-15
1053392191 Ling Chen Pathology 1951 Clairmont Rd, Decatur, GA 30033-3415 2005-11-07
1649270885 Jordan H. Berne Pathology 6095 Barfield Rd Ne, Suite 200, Atlanta, GA 30328-4408 2005-07-29
1588667380 Christopher J Kligora Pathology 311 W 8th St Ne, Rome, GA 30165-2723 2005-05-24
1912900697 Steve M Covington IIi Pathology 2701 N Decatur Rd, Decatur, GA 30033-5918 2005-05-24
1295386928 Podpath, Inc Pathology 2000 Lake Park Dr Se, Smyrna, GA 30080-7611 2019-09-24
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Competitor

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City ALPHARETTA
Zip Code 30004

Improve Information

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Dataset Information

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.

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