Individual provider Active NPI

Bradley M Duplantier, M.D.

  • Anesthesiology Physician
  • Marietta, GA
National Provider Identifier
1649317017
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
031589 Issued in GA
Practice address
531 Roselane St NW
Suite 750
Marietta, GA 30060-6913
Phone
(770) 794-0477
Fax
(770) 794-3108
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 031589 GA Primary

Addresses

Primary practice location

531 Roselane St NW
Suite 750
Marietta, GA 30060-6913

Mailing address

3374 Old Plantation Rd NW
Atlanta, GA 30327-2424
Phone (770) 690-8872

Other identifiers 2

IdentifierTypeStateIssuer
000389991BMedicaidGA
050049329OtherGARAILROAD MEDICARE

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
031589GAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Anesthesiologists, PC Anesthesiology PastSince Oct 1, 2015 Accepting new patients
Axis Anesthesia Associates PC Anesthesiology Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1649317017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3374 OLD PLANTATION RD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272424",
            "telephone_number": "770-690-8872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 ROSELANE ST NW",
            "address_2": "SUITE 750",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300606913",
            "telephone_number": "770-794-0477",
            "fax_number": "770-794-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPLANTIER",
        "first_name": "BRADLEY",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "031589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000389991B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050049329",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.