DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: BRADLEY ROBERT PETERS M.D.

MEDICARE: BRADLEY ROBERT PETERS 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
12085R0202XDiagnostic Radiology Physician202673NY
22085R0202XDiagnostic Radiology Physician26644AL
32085R0202XDiagnostic Radiology PhysicianMD21001176DC
42085R0202XDiagnostic Radiology Physician51890GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659374262
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRADLEY ROBERT PETERS M.D.
Provider Business Mailing Address
First Line : 700 E MOREHEAD ST STE 300
Second Line :
City : CHARLOTTE
State : NC
Zip : 28202-2742
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6025 PROFESSIONAL PKWY STE 104
Second Line :
City : DOUGLASVILLE
State : GA
Zip : 30134-5610
Country : US
Telephone Number : 407-412-6300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 08/21/2025

Similar Medicare Providers

1851543086 — SOPHIA SAIFEE MD
Practice Location Address:
6025 PROFESSIONAL PKWY STE 200
DOUGLASVILLE, GA
30134-5610
Practice Phone: 770-949-0555
Practice Fax: 770-949-4424
1861620353 — DR. YELENA RANIKA MAKORI M.D.
Practice Location Address:
6025 PROFESSIONAL PKWY STE 200
DOUGLASVILLE, GA
30134-5610
Practice Phone: 770-949-0555
Practice Fax: 770-949-4424
1013396878 — MS. TOMMIE JOANN FLOYD A.P.N.
Practice Location Address:
6025 PROFESSIONAL PKWY STE 200
DOUGLASVILLE, GA
30134-5610
Practice Phone: 770-949-0555
Practice Fax:
1477105211 — DESAI & SHROFF MEDICAL
Practice Location Address:
6025 PROFESSIONAL PKWY STE 200
DOUGLASVILLE, GA
30134-5610
Practice Phone: 770-949-0555
Practice Fax: 770-949-4424
1720692783 — THE FAMILY HEALTH CENTERS OF GEORGIA, INC
Practice Location Address:
6025 PROFESSIONAL PKWY STE 200
DOUGLASVILLE, GA
30134-5610
Practice Phone: 404-752-1400
Practice Fax:
1376264085 — ELIZER MURANGI NJERU LPN
Practice Location Address:
5610 CAVE SPRINGS RD
DOUGLASVILLE, GA
30134-3615
Practice Phone: 770-882-8585
Practice Fax:

Directions to “ BRADLEY ROBERT PETERS M.D.” 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.