Bradley S Ingram (NPI# 1144290321, PAC ID# 0345286506) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1144290321 |
| PAC ID by PECOS | 0345286506 |
| Professional Enrollment ID | I20080602000617 |
| Full Name | Bradley S Ingram |
| Organization Legal Name | MEDICAL PRACTICES OF ANTIETAM LLC |
| Address |
22911 Jefferson Blvd Smithsburg MD 21783-1617 |
| Phone Number | 3018243343 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2001 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2567353865 |
| Number of Group Practice Members | 101 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 22911 Jefferson Blvd, Smithsburg, MD 21783-1617 | 3018243343 | MEDICAL PRACTICES OF ANTIETAM LLC |
| 3 Byrkit Dr, Williamsport, MD 21795-1158 | 3015821150 | MEDICAL PRACTICES OF ANTIETAM LLC |
| Organization Legal Name | MEDICAL PRACTICES OF ANTIETAM LLC |
| Physicians | 106 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina Maria Scuderi | Nurse Practitioner | Medical Practices of Antietam LLC | 13620 Crayton Bouevard, Meritus Primary Care, Hagerstown, MD 21742-2335 |
| Jennifer Lyn Foster | Nurse Practitioner | Medical Practices of Antietam LLC | 8507 Mapleville Rd, Boonsboro, MD 21713-1818 |
| Hussein Hijazi | Family Medicine | Medical Practices of Antietam LLC | 3 Byrkit Dr, Williamsport, MD 21795-1158 |
| Jay B Greenberg | Obstetrics/gynecology | Medical Practices of Antietam LLC | 1130 Professional Ct, Hagerstown, MD 21740-5852 |
| Matthew G Beckwith | Family Medicine | Medical Practices of Antietam LLC | 24 N Walnut St, Suite 100, Hagerstown, MD 21740-4741 |
| Allen Ditto | Family Practice | Medical Practices of Antietam LLC | 13424 Pennsylvania Ave, Suite 101, Hagerstown, MD 21742-2685 |
| Kelli A Strauss | Family Medicine | Medical Practices of Antietam LLC | 13620 Crayton Bouevard, Meritus Primary Care, Hagerstown, MD 21742-2335 |
| Kimberly Anne Olchewsky | Physician Assistant | Medical Practices of Antietam LLC | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 |
| Merih D O Donoghue | Family Medicine | Medical Practices of Antietam LLC | 13620 Crayton Bouevard, Meritus Primary Care, Hagerstown, MD 21742-2335 |
| Kendra S Magner | Certified Nurse Midwife (cnm) | Medical Practices of Antietam LLC | 11110 Medical Campus Rd, Suite 249, Hagerstown, MD 21742-6756 |
| Street Address |
22911 JEFFERSON BLVD |
| City | SMITHSBURG |
| State | MD |
| Zip | 21783-1617 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taylor B James | Physician Assistant | Medical Practices of Antietam LLC | 22911 Jefferson Blvd, Smithsburg, MD 21783-1617 |
| William B Kerns | Internal Medicine | Medical Practices of Antietam LLC | 22911 Jefferson Blvd, Smithsburg, MD 21783-1617 |
| Brian K. Bonham | Internal Medicine | Medical Practices of Antietam LLC | 22911 Jefferson Blvd, Smithsburg, MD 21783-1617 |
| Jennifer L Nunnelee | Physician Assistant | Medical Practices of Antietam LLC | 22911 Jefferson Blvd, Smithsburg, MD 21783-1617 |
| Dipti Mohanlal Mistry | Internal Medicine | Medical Practices of Antietam LLC | 22911 Jefferson Blvd, Smithsburg, MD 21783-1617 |
| Mary Buntin | Physician Assistant | Medical Practices of Antietam LLC | 22911 Jefferson Blvd, Smithsburg, MD 21783-1617 |
| Gail Marie Callaway | Internal Medicine | Medical Practices of Antietam LLC | 22911 Jefferson Blvd, Smithsburg, MD 21783-1617 |
| City | SMITHSBURG |
| Zip Code | 21783 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SMITHSBURG + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Bradley S Ingram.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.