Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THOMAS LANE BRADBURY JR., MD
ActiveDR. THOMAS LANE BRADBURY JR., MD is a Sports Medicine (Orthopaedic) healthcare provider located in ATLANTA, Georgia. NPI 1720019698 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Orthopaedic) · ATLANTA, GA
Registration Details
- NPI Number
- 1720019698
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 6, 2006 (20.092742115854 yrs)
- Last Updated
- Feb 1, 2015
- Licenses
-
200600296 (NC)059130 (GA)
Practice Information
- Address
-
59 EXECUTIVE PARK SATLANTA, GA, 303292208Browse GA providers · Browse ZIP 30329
- Phone
- 4047787188
- Fax
- 4047787036
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XS0114X
- Additional Specialty
- Sports Medicine (Orthopaedic)
Other Sports Medicine (Orthopaedic) Providers in ATLANTA, GA
| Name | Credential | NPI |
|---|---|---|
| GREG ERENS | MD | 1295761450 |
| JEFFREY PERETZ | MD | 1851551535 |
| AJAY PREMKUMAR | MD, MPH | 1194188458 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.