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NPI Code Detail

MEDICARE: BRADLEY STEARNS

MEDICARE: BRADLEY STEARNS
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
1207P00000XEmergency Medicine Physician053380GA
2207Q00000XFamily Medicine Physician053380GA

General Provider Information

NPI Number : 1073612115
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRADLEY STEARNS
Provider Business Mailing Address
First Line : 5665 NEW NORTHSIDE DR NW
Second Line :
City : ATLANTA
State : GA
Zip : 30328-5831
Country : US
Telephone Number : 770-874-5400
Fax Number :
Provider Business Practice Location Address
First Line : 3950 AUSTELL RD
Second Line :
City : AUSTELL
State : GA
Zip : 30106-1121
Country : US
Telephone Number : 770-732-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2006
Last Update Date : 12/12/2025

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Directions to “ BRADLEY STEARNS ” Practice Location

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