Individual
DR. BRADLEY C PHOENIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2701 N. DECATUR RD, DECATUR, GA 30033-0000
(678) 514-1991
(678) 514-1992
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(954) 839-2569
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
059852
GA
207L00000X
Anesthesiology Physician
22087
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
831955056A
—
GA
Enumeration date
08/05/2006
Last updated
04/10/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us