NPI 1508339151 · live from the CMS NPI Registry
Aaron Bradley
Podiatrist, Foot & Ankle Surgery in Decatur, GA. National Provider Identifier 1508339151, active.
NPI record
| NPI | 1508339151 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 2701 N Decatur Rd, Decatur, GA 30033 |
| Practice phone | 404-501-1000 |
| Mailing address | 8245 Meadowbridge Rd, Mechanicsville, VA 23116 |
| Enumerated | January 7, 2019 |
| Last updated | April 26, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | POD001402 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.