Advanced Vascular and Vein, PC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

ADVANCED VASCULAR AND VEIN, PC

Practice address

5673 Peachtree Dunwoody Rd Ste 440
Atlanta, GA 30342-1797

Phone

(678) 344-8900

NPI assigned

Oct 28, 2025

Organization subpart

No

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

Authorized official

Name

Bradley Matthew White, DONPI 1265891634

Title

Owner

Phone

(678) 344-8900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Advanced Vascular and Vein, PC

  • Vascular & Interventional Radiology Physician
  • Alpharetta, GA
  • NPI 1720952336

  O20260316001232

  Same enrollment

Tax ID family

Advanced Vascular and Vein PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Advanced Vascular and Vein, PC

  • Vascular & Interventional Radiology Physician
  • Decatur, GA
  • NPI 1043174857
  NPD tax ID
• Advanced Vascular and Vein, PC

  • Vascular & Interventional Radiology Physician
  • Decatur, GA
  • NPI 1174487995
  NPD tax ID
• Advanced Vascular and Vein, PC

  • Vascular & Interventional Radiology Physician
  • Alpharetta, GA
  • NPI 1720952336
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradley Matthew White, D.O.

  • Vascular & Interventional Radiology Physician
  • Decatur, GA
  • NPI 1265891634

  Vascular & Interventional Radiology

  NPD (past) Authorized official

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

{
    "created_epoch": "1761609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1770451981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 JANMAR ROAD",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785606",
            "telephone_number": "470-579-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5673 PEACHTREE DUNWOODY RD STE 440",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421797",
            "telephone_number": "678-344-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED VASCULAR AND VEIN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-28",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-344-8900",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Atlanta, GA
• Vascular & Interventional Radiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.