Bradford Bootstaylor in Atlanta - Pain Medicine
Bradford Bootstaylor - NPI 1497798854
Bradford Bootstaylor is a Pain Medicine in Atlanta, Georgia. Bradford Bootstaylor practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for Bradford Bootstaylor is 1497798854. The last update date is 2022-10-28.
Bradford Bootstaylor's current location address is 285 Boulevard Ne Ste 345a, Atlanta, Georgia. You can contact this provider via phone number 4046186825 and fax number 4044803876. The mailing address for Bradford Bootstaylor is 285 Boulevard Ne Ste 345a, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradford Bootstaylor |
|---|---|
| Address | 285 Boulevard Ne Ste 345a, Atlanta, Georgia |
| Phone Number | 4046186825 |
| Fax Number | 4044803876 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1497798854 |
|---|---|
| Provider Enumeration Date | 2006-06-14 |
| Last Updated Date | 2022-10-28 |
Provider Mailing Address Detail
| Address | 285 Boulevard Ne Ste 345a |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303124205 |
| Phone Number | 4046186825 |
| Fax Number | 4044803876 |
Provider's Primary Taxonomy Detail
| Speciality | Pain Medicine |
|---|---|
| Taxonomy | 208Vp0000X |
| Licence No | 41733 |
|
Definition: Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and t |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000702996H | GA | -- | |
| 000702996Q | GA | -- | |
| 000702996T | GA | -- | |
| 000702996G | GA | -- | |
| 000702996J | GA | -- | |
| 000702996K | GA | -- | |
| 000702996V | GA | -- | |
| 000702996F | GA | -- | |
| 000702996S | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Bradford Bootstaylor by the Centers for Medicare & Medicaid Services?
The Bradford Bootstaylor has been assigned the NPI (National Provider Identifier) 1497798854. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Bradford Bootstaylor is geographically located?
The Bradford Bootstaylor is physically situated at the following location: 285 Boulevard Ne Ste 345A, Atlanta, GA, 303124205.
What is the Bradford Bootstaylor's area of specialization and corresponding taxonomy classification?
The Bradford Bootstaylor's specialty field is Pain Medicine, and it falls under the taxonomy code 208Vp0000X, which categorizes healthcare providers based on their specialties.
On what date did the Bradford Bootstaylor receive its 1497798854 assignment from the Centers for Medicare & Medicaid Services?
The Bradford Bootstaylor was assigned its 1497798854 by the Centers for Medicare & Medicaid Services on 2006-06-14.
When was the information related to Bradford Bootstaylor most recently updated or refreshed?
The details pertaining to the Bradford Bootstaylor, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-10-28.