Michael Shane Bradley (NPI# 1265860878, PAC ID# 1759518848) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1265860878 |
| PAC ID by PECOS | 1759518848 |
| Professional Enrollment ID | I20131217000854 |
| Full Name | Michael Shane Bradley |
| Organization Legal Name | KENTUCKY ORTHOPAEDICS AND SPINE PLLC |
| Address |
1138 Lexington Rd Suite 110 Georgetown KY 40324-9673 |
| Phone Number | 5025703754 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0749529097 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180046 | BOURBON COMMUNITY HOSPITAL |
| 180101 | GEORGETOWN COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1138 Lexington Rd, Suite 110, Georgetown, KY 40324-9673 | 5025703754 | KENTUCKY ORTHOPAEDICS AND SPINE PLLC |
| 404 Shoppers Dr, Winchester, KY 40391-1378 | 8597375333 | KENTUCKY ORTHOPAEDICS AND SPINE PLLC |
| Organization Legal Name | KENTUCKY ORTHOPAEDICS AND SPINE PLLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandon H Embry | Physician Assistant | Kentucky Orthopaedics and Spine Pllc | 1138 Lexington Rd, Suite 110, Georgetown, KY 40324-9673 |
| Kurt S Schlenther | Physician Assistant | Kentucky Orthopaedics and Spine Pllc | 1138 Lexington Rd, Suite 110, Georgetown, KY 40324-9673 |
| Sarah Dawn Ervin | Physician Assistant | Kentucky Orthopaedics and Spine Pllc | 1138 Lexington Rd, Suite 110, Georgetown, KY 40324-9673 |
| Street Address |
1138 LEXINGTON RD SUITE 110 |
| City | GEORGETOWN |
| State | KY |
| Zip | 40324-9673 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandon H Embry | Physician Assistant | Kentucky Orthopaedics and Spine Pllc | 1138 Lexington Rd, Suite 110, Georgetown, KY 40324-9673 |
| Matthew C Birdwhistell | Internal Medicine | 1138 Lexington Rd, Suite 290, Georgetown, KY 40324-9672 | |
| James Robert Bailey | Gastroenterology | Kentucky Mso LLC | 1138 Lexington Rd, Suite 140, Georgetown, KY 40324-9672 |
| Kurt S Schlenther | Physician Assistant | Kentucky Orthopaedics and Spine Pllc | 1138 Lexington Rd, Suite 110, Georgetown, KY 40324-9673 |
| Robert Craig Martin | Internal Medicine | 1138 Lexington Rd, Suite 290, Georgetown, KY 40324-9672 | |
| Amanda E Lane | Family Medicine | Kentucky Mso LLC | 1138 Lexington Rd, Suite 130, Georgetown, KY 40324-9673 |
| Mandy R Mynhier | Physician Assistant | 1138 Lexington Rd, Suite 290, Georgetown, KY 40324-9672 | |
| Erin Johnson | Internal Medicine | Kentucky Mso LLC | 1138 Lexington Rd, Suite 130, Georgetown, KY 40324-9673 |
| Erica Gregonis | Pulmonary Disease | Clark Regional Physician Practices LLC | 1138 Lexington Rd, Suite 130, Georgetown, KY 40324-9673 |
| Tricia Lynne Greer | Nurse Practitioner | Kentucky Mso LLC | 1138 Lexington Rd, Suite 140, Georgetown, KY 40324-9672 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wilma J Peeples | Clinical Social Worker | 107 Frazier Sourt, 2c, Georgetown, KY 40324 | |
| Gary L Mills | Chiropractic | 407 S Broadway, Georgetown, KY 40324-1342 | |
| Tiffany M Shelton | Nurse Practitioner | Minuteclinic Diagnostic of Kentucky LLC | 101 W Showalter Dr, Georgetown, KY 40324-2081 |
| Jessica L Henry | Nurse Practitioner | Minuteclinic Diagnostic of Kentucky LLC | 101 W Showalter Dr, Georgetown, KY 40324-2081 |
| James J Gullett | Ophthalmology | Wwr, Psc | 103 S Bradford Ln, Suite 102, Georgetown, KY 40324-2336 |
| William W Richardson Ii | Ophthalmology | Wwr, Psc | 103 S Bradford Ln, Suite 102, Georgetown, KY 40324-2336 |
| Stefanie Adams | Optometry | Wwr, Psc | 103 S Bradford Ln, Suite 102, Georgetown, KY 40324-2336 |
| Ivan Morrin | Family Medicine | Baptist Health Medical Group Inc | 210 Bevins Ln C, Georgetown, KY 40324-6127 |
| Brett A Oliver | Family Medicine | Baptist Health Medical Group Inc | 210 Bevins Ln C, Georgetown, KY 40324-6127 |
| Amy J Cox | Nurse Practitioner | Baptist Health Medical Group Inc | 210 Bevins Ln C, Georgetown, KY 40324-6127 |
| Find all physicians in zip 40324 | |||
| City | GEORGETOWN |
| Zip Code | 40324 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | GEORGETOWN + PHYSICIAN ASSISTANT |
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| 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.