BRAD LEE BAUER MD

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Dr BRAD LEE BAUER MD is a male medical professional, specializing in Urology. He graduated in 1994 from Texas Tech University Health Science Center School Of Medicine.

Contact

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

16000 JOHNSTON MEMORIAL DR
312D
ABINGDON
VA
242117664

Tel: 2762581740

BRAD LEE BAUER MD Information

Npi 1457352684
Pac Id 8123073079
Professional Enrollment Id I20180118000692
Last Name BAUER
First Name BRAD
Middle Name LEE
Suffix
Gender M
Credential MD
Medical School Name TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduation Year 1994
Primary Specialty UROLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Group Practice Pac Id 9739099441
Number Of Group Practice Members 340
Line 1 Street Address 16000 JOHNSTON MEMORIAL DR
Line 2 Street Address 312D
Marker Of Address Line 2 Suppression
City ABINGDON
State VA
Zip Code 242117664
Phone Number 2762581740
Hospital Affiliation Ccn 1 490053
Hospital Affiliation Lbn 1 JOHNSTON MEMORIAL HOSPITAL
Hospital Affiliation Ccn 2 490038
Hospital Affiliation Lbn 2 SMYTH COUNTY COMMUNITY HOSPITAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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