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NPI Code Detail

MEDICARE: DR. BRIAN BATESON D.O.

MEDICARE: DR. BRIAN BATESON D.O.
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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianOP61140522WA
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician04473KY
3208600000XSurgery Physician6882GA
4208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician0102207563VA

General Provider Information

NPI Number : 1225443898
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIAN BATESON D.O.
Provider Business Mailing Address
First Line : 1120 15TH ST # OR6000
Second Line :
City : AUGUSTA
State : GA
Zip : 30912-0004
Country : US
Telephone Number : 706-721-3813
Fax Number :
Provider Business Practice Location Address
First Line : 8081 INNOVATION PARK DR STE 800
Second Line :
City : FAIRFAX
State : VA
Zip : 22031-4867
Country : US
Telephone Number : 571-472-4600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2014
Last Update Date : 02/10/2026

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Directions to “ DR. BRIAN BATESON D.O.” Practice Location

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