Active NPIIndividual provider

Dr. Bradley W Bakotic, DO

Pathology, Dermatopathology in Alpharetta, Georgia

NPI Number1295710754
Practice location
2001 Westside Parkway, Suite 290, Alpharetta, GA 30004-8514
Fax
770-475-0533
Last updated
February 4, 2009

Bradley W. Bakotic is a Pathology, Dermatopathology based in Alpharetta, GA. Bradley W. Bakotic practices in Alpharetta, GA and has the professional credentials of DO. The NPI Number for Bradley W. Bakotic is 1295710754 and holds a License No. OS8431 (FL). The current practice location address for Bradley W. Bakotic is 2001 Westside Parkway, Suite 290, Alpharetta, GA 30004-8514 and can be reached out via phone at 877-376-7284 and via fax at 770-475-0533.

Provider Profile Details

NPI Number
1295710754
Provider Name
Bradley W. Bakotic
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2001 Westside Parkway, Suite 290, Alpharetta, GA 30004-8514
Phone Number
877-376-7284
Fax Number
770-475-0533
Primary Taxonomy
Pathology, Dermatopathology · 207ZD0900X
Sole Proprietor
No
Provider Enumeration Date
December 7, 2005
Last Update Date
February 4, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
2001 Westside Parkway
Suite 290
Alpharetta, GA 30004-8514
State
Georgia
Zip
30004-8514
Phone Number
877-376-7284
Fax Number
770-475-0533
Alpharetta, GA 30004Get directions →

Provider Business Mailing Address Details

Address
Po Box 6039
Falmouth, ME 04105-6039
City
Falmouth
State
ME
Zip
04105-6039
Phone Number
888-302-3045
Fax Number
207-347-7401

License Information

License Number (1)
OS8431
License State (1)
FL
Taxonomy (1)
Pathology, Dermatopathology · 207ZD0900X
License Number (2)
OS8431
License State (2)
FL
License Number (3)
048594
License State (3)
GA
Taxonomy (3)
Pathology, Dermatopathology · 207ZD0900X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Bradley W Bakotic, DO?

The NPI number of Dr. Bradley W Bakotic, DO is 1295710754. It was assigned on December 7, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Bradley W Bakotic, DO?

Dr. Bradley W Bakotic, DO is registered under the primary taxonomy Pathology, Dermatopathology (code 207ZD0900X), licensed in FL under license number OS8431.

Where does Dr. Bradley W Bakotic, DO practice?

The practice location is 2001 Westside Parkway, Suite 290, Alpharetta, GA 30004-8514. The office can be reached at 877-376-7284 (phone) or 770-475-0533 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295710754 directly on the NPPES registry website.

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