Individual
BRADLEY ROBERT AUFFARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-3834
(770) 536-2323
(770) 536-4947
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 535-7445
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
044398
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000775189C
PEACH STATE
GA
05
—
000775189C
—
GA
01
—
000775189D
PEACH STATE
GA
05
—
000775189D
—
GA
05
—
000775189E
—
GA
05
—
000775189F
—
GA
05
—
000775189O
—
GA
01
—
01053251
AMERIGROUP
GA
01
—
1690000
CIGNA
GA
01
—
1771991
UHC
GA
01
—
34602
WELLCARE
GA
01
—
52636812
BCBS
GA
01
—
571688
COVENTRY
GA
01
—
P00416162
MEDICARE RAILROAD
GA
Enumeration date
05/27/2005
Last updated
02/26/2019
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