MEDICARE: ANDREW BRADLEY REISMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	042406	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
8	80109236	OTHER	GA	RR MEDICARE-GRP # CC4177

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	341309	OTHER	GA	WELLCARE
2	52595494	OTHER	GA	BCBS
3	10045366	OTHER	GA	AMERIGROUP
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	4969623	OTHER	GA	CIGNA
6	5218658	OTHER	GA	AETNA PPO
7	0100333	OTHER	GA	UNITED HEALTHCARE

General Provider Information

NPI Number	:	1053391490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW BRADLEY REISMAN MD

Provider Business Mailing Address
First Line	:	3720 GRIFFIN DR
Second Line	:
City	:	GAINESVILLE
State	:	GA
Zip	:	30506-3753
Country	:	US
Telephone Number	:	770-654-8905
Fax Number	:

Provider Business Practice Location Address
First Line	:	3720 GRIFFIN DR
Second Line	:
City	:	GAINESVILLE
State	:	GA
Zip	:	30506-3753
Country	:	US
Telephone Number	:	770-654-8905
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2006
Last Update Date	:	09/30/2025

Similar Medicare Providers

1841470853 — YAMILY VALDES M.D.
Practice Location Address:

1600 SW ARCHER RD
GAINESVILLE, FL
32610-3753

Practice Phone: 352-627-9350
Practice Fax:

1336133495 — DR. RANDY J. BUCKSPAN M.D.
Practice Location Address:

9115 KATE CT
GAINESVILLE, GA
30506-3960

Practice Phone: 512-924-8126
Practice Fax:

1619958865 — MS. GINA W PARRIS EDS MSW LMFT
Practice Location Address:

3383 WOLF DR
GAINESVILLE, GA
30506-1439

Practice Phone: 770-841-2926
Practice Fax: 770-874-9083

1497739429 — MRS. ANGA-LEE MORGAN TIPTON NP
Practice Location Address:

4000 VILLAGE VIEW DRIVE
GAINESVILLE, GA
30506

Practice Phone: 678-450-3000
Practice Fax: 678-450-1527

1942279658 — TAMMY WILBANKS OWENS FNP-C
Practice Location Address:

5136 SHIRLEY RD
GAINESVILLE, GA
30506-5115

Practice Phone: 706-499-3086
Practice Fax:

1497715627 — STEPHANIE LOVELAND GRANT OT
Practice Location Address:

3978 POINTE N
GAINESVILLE, GA
30506-5385

Practice Phone: 678-696-1172
Practice Fax:

Directions to “ ANDREW BRADLEY REISMAN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.