Bakotic, Bradley W.

Bakotic, Bradley W. is an individual health care provider with primary practice located at 2001 Westside Parkway Suite 290, Alpharetta GA 30004-8514. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Dermatopathology is his primary health care specialty. Bakotic, Bradley W. can be contacted via phone (877) 376-7284.

Contact Information

Primary practice address
2001 Westside Parkway Suite 290 Alpharetta GA 30004-8514
Phone: (877) 376-7284
Fax: (770) 475-0533
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X OS8431 Florida
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X OS8431 Florida
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X 048594 Georgia

Profile Details

NPI number 1295710754
LBN Legal business name Bakotic, Bradley W.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Feb 4th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295710754 NPPES
Florida MEDICAID 262219000

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