Titus Bundrage Sr.

Individual provider Active NPI Cardiovascular Specialist/Technologist · Milledgeville, GA

NPI 1669310272 · NPPES record last updated Mar 24, 2026

Key facts

NPI
1669310272
Entity type
Individual (NPI type 1)
Primary specialty
Cardiovascular Specialist/Technologist 246X00000X
Practice address
1776 N Jefferson St NE
Milledgeville, GA 31061-2229
Phone
(478) 412-1992
NPI assigned
Mar 24, 2026
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Five-T Drug & Alochol Testing LLC Specialist/Technologist Cardiovascular Current Accepting new patients

Locations

1776 N Jefferson St NE
Milledgeville, GA 31061
Phone (478) 412-1992

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Specialist/Technologist 246X00000X Yes

Addresses

Primary practice location

1776 N Jefferson St NE
Milledgeville, GA 31061-2229

Mailing address

1776 N Jefferson St NE
Milledgeville, GA 31061-2229
Phone (478) 412-1992

Other providers in Milledgeville, GA

All providers in Milledgeville, GA · Cardiovascular Specialist/Technologist in Georgia

Sources for this page

Verify at the official NPI Registry.