MEDICARE: BRADLEY NORMAN REAMES M.D.

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	2086X0206X	Surgical Oncology Physician	30765	NE
2	208600000X	Surgery Physician	2025-02633	NC
3	390200000X	Student in an Organized Health Care Education/Training Program		MD
4	390200000X	Student in an Organized Health Care Education/Training Program	4301094162	MI

General Provider Information

NPI Number	:	1023246220
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRADLEY NORMAN REAMES M.D.

Provider Business Mailing Address
First Line	:	100 KIMEL FOREST DR
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27103-6074
Country	:	US
Telephone Number	:	336-716-2255
Fax Number	:

Provider Business Practice Location Address
First Line	:	MEDICAL CENTER BLVD
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27157-0001
Country	:	US
Telephone Number	:	336-716-0664
Fax Number	:	336-716-9634

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

Provider Enumeration Date	:	06/25/2009
Last Update Date	:	01/19/2026

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