Active NPI
Bradley J Mell
- Student in an Organized Health Care Education/Training Program
- Milledgeville, GA
National Provider Identifier
1609330653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 331 W Montgomery St Apt C
Milledgeville, GA 31061-3362 - Phone
- (770) 212-0634
- NPI assigned
- Jan 23, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
331 W Montgomery St Apt C
Milledgeville, GA 31061-3362
Mailing address
331 W Montgomery St Apt C
Milledgeville, GA 31061-3362
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548201600000",
"number": "1609330653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 W MONTGOMERY ST APT C",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "310613362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 W MONTGOMERY ST APT C",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "310613362",
"telephone_number": "770-212-0634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELL",
"first_name": "BRADLEY",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-23",
"last_updated": "2019-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milledgeville, GA
- Med-Lake Laboratory, LLC
- Med-Ride LLC
- Medical Arts Pharmacy
- Medical Kidney Services of Central Georgia, LTD.
- Sherry Ann Meeks, D.C.
- Michael D Merica, D.C.
- Joe Metzker
- Middle Georgia Chest and Medical Center, LLC
- Middle Georgia Correctional Complex Pharmacy
- Middle Georgia Ear Nose & Throat Surgery Center, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.