Bradley L Fricke (NPI# 1174701262, PAC ID# 4789730482) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1174701262 |
| PAC ID by PECOS | 4789730482 |
| Professional Enrollment ID | I20120605000139 |
| Full Name | Bradley L Fricke |
| Organization Legal Name | SUMMIT RADIOLOGY SERVICES PC |
| Address |
10 Bowen Ct Cartersville GA 30120-2494 |
| Phone Number | 7706077339 |
| Gender | M |
| Medical School | UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 3577454024 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110091 | PIEDMONT ROCKDALE HOSPITAL |
| 110225 | PIEDMONT MOUNTAINSIDE HOSPITAL INC |
| 110018 | PIEDMONT NEWTON HOSPITAL |
| 110125 | FAIRVIEW PARK HOSPITAL |
| 110030 | CARTERSVILLE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 10 Bowen Ct, Cartersville, GA 30120-2494 | 7706077339 | SUMMIT RADIOLOGY SERVICES PC |
| Organization Legal Name | SUMMIT RADIOLOGY SERVICES PC |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clifford N Grossman | Interventional Radiology | Summit Radiology Services PC | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 |
| Kevin Miller | Diagnostic Radiology | Summit Radiology Services PC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| Derek B Pollard | Diagnostic Radiology | Summit Radiology Services PC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| Michelle Ross | Diagnostic Radiology | Summit Radiology Services PC | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 |
| Adam Kyle Deal | Diagnostic Radiology | Summit Radiology Services PC | 10 Bowen Ct, Cartersville, GA 30120-2494 |
| Daniel Andrew Ortiz | Diagnostic Radiology | Summit Radiology Services PC | 10 Bowen Ct, Cartersville, GA 30120-2494 |
| Robert E Kim | Diagnostic Radiology | Summit Radiology Services PC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| Qiao Zhou | Interventional Radiology | Summit Radiology Services PC | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 |
| Charissa Faith Baker | Nurse Practitioner | Summit Radiology Services PC | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 |
| David M Isaacs | Diagnostic Radiology | Summit Radiology Services PC | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 |
| Street Address |
10 BOWEN CT |
| City | CARTERSVILLE |
| State | GA |
| Zip | 30120-2494 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam Kyle Deal | Diagnostic Radiology | Summit Radiology Services PC | 10 Bowen Ct, Cartersville, GA 30120-2494 |
| Daniel Andrew Ortiz | Diagnostic Radiology | Summit Radiology Services PC | 10 Bowen Ct, Cartersville, GA 30120-2494 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Patterson | Chiropractic | 1010 N Tn St, Suite 116, Cartersville, GA 30120 | |
| Timothy J Lin | Pulmonary Disease | Respiratory Consultants of Georgia LLC | 21 Pointe N Dr, Cartersville, GA 30120 |
| Rebekah Smithey | Nurse Practitioner | Respiratory Consultants of Georgia LLC | 21 Pointe N Dr, Cartersville, GA 30120 |
| Angel T Brown | Pulmonary Disease | Respiratory Consultants of Georgia LLC | 21 Pointe N Dr, Cartersville, GA 30120 |
| Jill L Kachinsky | Chiropractic | 607 N Tennessee St, Cartersville, GA 30120-1697 | |
| Quyen Ta | Nurse Practitioner | Lavender Inpatient Services LLC | 960 Joe Frank Harris Sepkwy, Cartersville, GA 30120-2129 |
| Staci Nichole Kenner | Obstetrics/gynecology | Cartersville Ob/gyn Associates | 958 A Joe Frank Harris Pkwy, Suite 102, Cartersville, GA 30120-2129 |
| Clifford N Grossman | Interventional Radiology | Summit Radiology Services PC | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 |
| Brandon C Grinage | Anesthesiology | Sheridan Anesthesia Services of North Georgia, PC | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 |
| David B Warren | Obstetrics/gynecology | Harbin Clinic LLC | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 |
| Find all physicians in zip 30120 | |||
| City | CARTERSVILLE |
| Zip Code | 30120 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | CARTERSVILLE + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Bradley L Fricke.
| 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.