Bradley S Ellison (NPI# 1205037116, PAC ID# 5092851931) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1205037116 |
| PAC ID by PECOS | 5092851931 |
| Professional Enrollment ID | I20150902003283 |
| Full Name | Bradley S Ellison |
| Organization Legal Name | ORTHOCAROLINA, PA |
| Address |
354 Copperfield Blvd Ne Concord NC 28025-2402 |
| Phone Number | 7043232276 |
| Gender | M |
| Medical School | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 2062316821 |
| Number of Group Practice Members | 402 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340001 | CAROLINAS MEDICAL CENTER-NORTHEAST |
| 340129 | LAKE NORMAN REGIONAL MEDICAL CENTER |
| 340119 | STANLY REGIONAL MEDICAL CENTER |
| 340113 | CAROLINAS MEDICAL CENTER/BEHAV HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 1915 Randolph Rd, Charlotte, NC 28207-1101 | 7043391000 | ORTHOCAROLINA, PA |
| 2001 Randolph Rd, Charlotte, NC 28207-1215 | 7043322225 | ORTHOCAROLINA, PA |
| 354 Copperfield Blvd Ne, Concord, NC 28025-2402 | 7043232276 | ORTHOCAROLINA, PA |
| 101 Delta Park Dr, Shelby, NC 28150-3575 | 7044840606 | ORTHOCAROLINA, PA |
| Organization Legal Name | ORTHOCAROLINA, PA |
| Physicians | 395 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taylor Marshall Simmons | Physical Therapy | Orthocarolina, Pa | 197 Piedmont Blvd, Suite 111, Rock Hill, SC 29732-1825 |
| Lacy Peterson | Physical Therapy | Orthocarolina, Pa | 214 18th St Se, Hickory, NC 28602-1363 |
| Matthew Quay Johnson | Physical Therapy | Orthocarolina, Pa | 150 Fairview Rd, Suite 230, Mooresville, NC 28117-9508 |
| James Steven Starman | Orthopedic Surgery | Orthocarolina, Pa | 445 Pineview Dr, Suite 220, Kernersville, NC 27284-3818 |
| Erica Kay Locklear | Nurse Practitioner | Orthocarolina, Pa | 1604 Medical Dr, Laurinburg, NC 28352-5524 |
| Michael Steven Gart | Plastic and Reconstructive Surgery | Orthocarolina, Pa | 2001 E 7th St, Charlotte, NC 28204-3311 |
| Debra Myhr | Physical Therapy | Orthocarolina, Pa | 703 Comfort Lane, Monroe, NC 28112 |
| Margaret Mcbride Hanna | Physical Therapy | Orthocarolina, Pa | 5935 Carnegie Blvd, Suite 104, Charlotte, NC 28209-4672 |
| Michael Devon Bates | Orthopedic Surgery | Orthocarolina, Pa | 9848 N Tryon St, Charlotte, NC 28262-5512 |
| Judit A Staneata | Physical Medicine and Rehabilitation | Orthocarolina, Pa | 180 Kimel Park Dr, Winston Salem, NC 27103-6976 |
| Street Address |
354 COPPERFIELD BLVD NE |
| City | CONCORD |
| State | NC |
| Zip | 28025-2402 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald W Singer | Orthopedic Surgery | Orthocarolina, Pa | 354 Copperfield Blvd Ne, Concord, NC 28025-2402 |
| Heather M Goodman | Physical Therapy | Orthocarolina, Pa | 354 Copperfield Blvd Ne, Concord, NC 28025-2402 |
| Ryan Jonathan Verner | Physical Therapy | Orthocarolina, Pa | 354 Copperfield Blvd Ne, Concord, NC 28025-2402 |
| William D Heisel Jr. | Physician Assistant | Orthocarolina, Pa | 354 Copperfield Blvd Ne, Concord, NC 28025-2402 |
| Matthew D Ohl | Orthopedic Surgery | Orthocarolina, Pa | 354 Copperfield Blvd Ne, Concord, NC 28025-2402 |
| Jennifer B Lang | Physical Therapy | Orthocarolina, Pa | 354 Copperfield Blvd Ne, Concord, NC 28025-2402 |
| Brian Scott Delay | Orthopedic Surgery | Orthocarolina, Pa | 354 Copperfield Blvd Ne, Concord, NC 28025-2402 |
| Roy A Majors | Orthopedic Surgery | Orthocarolina, Pa | 354 Copperfield Blvd Ne, Concord, NC 28025-2402 |
| Gregg Travis Graham | Nurse Practitioner | Orthocarolina, Pa | 354 Copperfield Blvd Ne, Concord, NC 28025-2402 |
| Richard G Mostak | Orthopedic Surgery | Orthocarolina, Pa | 354 Copperfield Blvd Ne, Concord, NC 28025-2402 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacey B Gipe | Physician Assistant | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Lara Junine Pons | Hospitalist | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Steven E Lucas | Family Medicine | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Jenna S Thomas | Family Medicine | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Jonathan Ryan Patterson | Family Medicine | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Richard A Smits | Family Medicine | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Brent H Messick | Family Medicine | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Susan R Andersen | General Practice | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Lori J Seymour | Physician Assistant | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Victor L Ha | Family Medicine | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Find all physicians in zip 28025 | |||
| City | CONCORD |
| Zip Code | 28025 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | CONCORD + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Bradley S Ellison.
| 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.