Lori J Bradley (NPI# 1225182546, PAC ID# 7719086602) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1225182546 |
| PAC ID by PECOS | 7719086602 |
| Professional Enrollment ID | I20070618000272 |
| Full Name | Lori J Bradley |
| Organization Legal Name | EPIX ANESTHESIA OF ALABAMA LLC |
| Address |
380 Woods Cove Rd Scottsboro AL 35768-2428 |
| Phone Number | 6785801349 |
| Gender | F |
| Graduation Year | 2006 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 8022300748 |
| Number of Group Practice Members | 47 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010049 | MEDICAL CENTER ENTERPRISE |
| Address | Phone | Organization |
|---|---|---|
| 380 Woods Cove Rd, Scottsboro, AL 35768-2428 | 6785801349 | EPIX ANESTHESIA OF ALABAMA LLC |
| Organization Legal Name | EPIX ANESTHESIA OF ALABAMA LLC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven H Sykes | Anesthesiology | Epix Anesthesia of Alabama LLC | 200 Medical Ctr Dr Sw, Fort Payne, AL 35968-3458 |
| Misty E Grimes | Certified Registered Nurse Anesthetist (crna) | Epix Anesthesia of Alabama LLC | 200 Medical Ctr Dr Sw, Fort Payne, AL 35968-3458 |
| Barry T Leath | Certified Registered Nurse Anesthetist (crna) | Epix Anesthesia of Alabama LLC | 200 Medical Ctr Dr Sw, Fort Payne, AL 35968-3458 |
| Starla S Shoupe | Certified Registered Nurse Anesthetist (crna) | Epix Anesthesia of Alabama LLC | 380 Woods Cove Rd, Scottsboro, AL 35768-2428 |
| Lesa R Johnson | Certified Registered Nurse Anesthetist (crna) | Epix Anesthesia of Alabama LLC | 400 E 10th St, Anniston, AL 36207-4716 |
| John Pelliccia | Anesthesiology | Epix Anesthesia of Alabama LLC | 400 E 10th St, Anniston, AL 36207-4716 |
| Michael R Stanley Jr. | Certified Registered Nurse Anesthetist (crna) | Epix Anesthesia of Alabama LLC | 200 Medical Ctr Dr Sw, Fort Payne, AL 35968-3458 |
| Jeremiah James Griffin | Certified Registered Nurse Anesthetist (crna) | Epix Anesthesia of Alabama LLC | 400 E 10th St, Anniston, AL 36207-4716 |
| Reatha A Ballard | Certified Registered Nurse Anesthetist (crna) | Epix Anesthesia of Alabama LLC | 200 Medical Ctr Dr Sw, Fort Payne, AL 35968-3458 |
| Paul M Denaro | Certified Registered Nurse Anesthetist (crna) | Epix Anesthesia of Alabama LLC | 200 Medical Ctr Dr Sw, Fort Payne, AL 35968-3458 |
| Street Address |
380 WOODS COVE RD |
| City | SCOTTSBORO |
| State | AL |
| Zip | 35768-2428 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel Giyanani | Hospitalist | Immh Scottsboro LLC | 380 Woods Cove Rd, Scottsboro, AL 35768-2428 |
| Starla S Shoupe | Certified Registered Nurse Anesthetist (crna) | Epix Anesthesia of Alabama LLC | 380 Woods Cove Rd, Scottsboro, AL 35768-2428 |
| Michael H Cookston | Pathology | 380 Woods Cove Rd, Scottsboro, AL 35768-2428 | |
| Tatiana Villalobos | Emergency Medicine | Immh Scottsboro LLC | 380 Woods Cove Rd, Scottsboro, AL 35768-2428 |
| Dominique Michelle Thompson | Emergency Medicine | Immh Scottsboro LLC | 380 Woods Cove Rd, Scottsboro, AL 35768-2428 |
| Rogelio Velez | Anesthesiology | Medstream Anesthesia Pllc | 380 Woods Cove Rd, Scottsboro, AL 35768-2428 |
| John Charles Lucke | Hospitalist | Highlands Hospitalists Services LLC | 380 Woods Cove Rd, Scottsboro, AL 35768-2428 |
| John H Jones | Family Medicine | Immh Scottsboro LLC | 380 Woods Cove Rd, Scottsboro, AL 35768-2428 |
| Frederick Joseph Mcdonald | Family Medicine | Immh Scottsboro LLC | 380 Woods Cove Rd, Scottsboro, AL 35768-2428 |
| Alex T Hunt | Emergency Medicine | Immh Scottsboro LLC | 380 Woods Cove Rd, Scottsboro, AL 35768-2428 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margaret Stewart Morr | Family Medicine | Scottsboro Urgent Care | 102 Micah Way, Suite 1107, Scottsboro, AL 35768 |
| Lonnie N Albin | Family Practice | Scottsboro Urgent Care | 102 Micah Way, Suite 1107, Scottsboro, AL 35768 |
| James D Watson | Optometry | 113 S Market St, Scottsboro, AL 35768-1804 | |
| Kevin J Gross | Optometry | 209 S Market St, Suite 104, Scottsboro, AL 35768-1851 | |
| David M Pierce | Chiropractic | 624 E Willow St, Scottsboro, AL 35768-2004 | |
| Rebecca Hicks | General Practice | 515 Veterans Dr, Scottsboro, AL 35768-2128 | |
| Andrew D Hodges | Internal Medicine | Hodges Clinic LLC | 307 Parks Ave, Scottsboro, AL 35768-2411 |
| Larry T Bolton | Family Medicine | 303 Parks Ave, Scottsboro, AL 35768-2411 | |
| Cathy Annette Olinger | Nurse Practitioner | 331 Parks Ave, Suite A, Scottsboro, AL 35768-2411 | |
| Desiree J Mcgann | Podiatry | 319 Parks Ave, Scottsboro, AL 35768-2411 | |
| Find all physicians in zip 35768 | |||
| City | SCOTTSBORO |
| Zip Code | 35768 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | SCOTTSBORO + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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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.