Active NPI
Bradley Stetzer, DO
- Maternal & Fetal Medicine Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 95138
- Practice address
- 550 Peachtree St NE Ste 1275
Atlanta, GA 30308-2240 - Phone
- (404) 872-3121
- Fax
- (404) 872-3119
- NPI assigned
- Jul 8, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | 95138 | GA | Primary |
| Maternal & Fetal Medicine Physician | 207VM0101X | 34007125 | OH | |
| Maternal & Fetal Medicine Physician | 207VM0101X | 5101012356 | OH |
Addresses
Primary practice location
550 Peachtree St NE Ste 1275
Atlanta, GA 30308-2240
Mailing address
550 Peachtree St NE Ste 1275
Atlanta, GA 30308-2240
Phone (404) 872-3121
Other practice location 1
2665 N Decatur Rd Ste 710
Decatur, GA 30033-6148
Phone (404) 299-7712
Other practice location 2
2401 Newnan Crossing Blvd E Ste 140
Newnan, GA 30265-2409
Phone (404) 876-6071
Other practice location 3
238 Professional Ct Ste A
Riverdale, GA 30274-2557
Phone (770) 471-7402
Other practice location 4
255 Corporate Center Dr Ste B
Stockbridge, GA 30281-7376
Phone (770) 692-0341
Other practice location 5
1325 Milstead Ave NE
Conyers, GA 30012-3829
Phone (770) 760-7855
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2176309 | Medicaid | OH | |
| 003288318 | Medicaid | GA | |
| 5382801500 | Other | OH | BWC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, WV, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
550 Peachtree St NE
Suite 1275
Atlanta, GA 30308-2240
Phone (404) 872-3121
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4048 | WV | MD | Dentist |
| 5101012356 | OH | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians North Specialty Care LLC | Current | Accepting new patients | |
| Obhg Georgia, P.C. | Current | Accepting new patients | |
| Atlanta Perinatal Associates | Maternal & Fetal Medicine | Current | Accepting new patients |
| Mercy Health Physicians North Specialty Care LLC | Current | Accepting new patients | |
| The Metrohealth System | Current | Accepting new patients | |
| The Metrohealth System | Current | Accepting new patients | |
| The Metrohealth System | Current | Accepting new patients | |
| DHP of Piedmont PC | Current | Accepting new patients | |
| Grady Memorial Hospital Corporation | Past | Accepting new patients | |
| Pagemed, LLC | Maternal & Fetal Medicine | Past | Accepting new patients |
Locations
417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207
1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520
550 Peachtree St NE
Ste 1275
Atlanta, GA 30308
Phone (404) 872-3121
710 Center St
Columbus, GA 31901
Phone (706) 571-1000
1325 Milstead Ave NE
Conyers, GA 30012
Phone (770) 760-7855
5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340
2665 N Decatur Rd
Ste 710
Decatur, GA 30033
Phone (404) 299-7712
2401 Newnan Crossing Blvd E
Ste 140
Newnan, GA 30265
Phone (404) 876-6071
238 Professional Ct
Ste A
Riverdale, GA 30274
Phone (770) 471-7402
1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229
255 Corporate Center Dr
Ste B
Stockbridge, GA 30281
Phone (770) 692-0341
2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348
4229 Pearl Rd
Cleveland, OH 44109
Phone (216) 459-6300
45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900
3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126
Interoperability endpoints
- bstetzer2518@direct.metrohealth.org
Organizations & group practices 10
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.
-
- Maternal & Fetal Medicine Physician
- Atlanta, GA
- NPI 1104973064
-
- Obstetrics & Gynecology Physician
- Fayetteville, GA
- NPI 1316202609
-
- Obstetrics & Gynecology Physician
- Athens, GA
- NPI 1750686838
-
- Surgery Physician
- Toledo, OH
- NPI 1306468418
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1053353896
-
- Customized Equipment (DME)
- Toledo, OH
- NPI 1235891672
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1700828852
-
- Pharmacy
- Cleveland, OH
- NPI 1992529911
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1992799050
-
- Maternal & Fetal Medicine Physician
- Macon, GA
- NPI 1619274180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689897600000",
"number": "1932132511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 PEACHTREE ST NE STE 1275",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082240",
"telephone_number": "404-872-3121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 PEACHTREE ST NE STE 1275",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082240",
"telephone_number": "404-872-3121",
"fax_number": "404-872-3119"
}
],
"practiceLocations": [
{
"address_1": "2665 N Decatur Rd Ste 710",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "GA",
"postal_code": "300336148",
"country_code": "US",
"telephone_number": "404-299-7712",
"fax_number": "404-299-5881",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2401 Newnan Crossing Blvd E Ste 140",
"address_purpose": "LOCATION",
"city": "Newnan",
"state": "GA",
"postal_code": "302652409",
"country_code": "US",
"telephone_number": "404-876-6071",
"fax_number": "404-767-4803",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "238 Professional Ct Ste A",
"address_purpose": "LOCATION",
"city": "Riverdale",
"state": "GA",
"postal_code": "302742557",
"country_code": "US",
"telephone_number": "770-471-7402",
"fax_number": "770-473-9314",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "255 Corporate Center Dr Ste B",
"address_purpose": "LOCATION",
"city": "Stockbridge",
"state": "GA",
"postal_code": "302817376",
"country_code": "US",
"telephone_number": "770-692-0341",
"fax_number": "770-692-0345",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1325 Milstead Ave NE",
"address_purpose": "LOCATION",
"city": "Conyers",
"state": "GA",
"postal_code": "300123829",
"country_code": "US",
"telephone_number": "770-760-7855",
"fax_number": "770-760-0327",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STETZER",
"first_name": "BRADLEY",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-08",
"last_updated": "2023-07-21",
"certification_date": "2023-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "GA",
"license": "95138",
"primary": true
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "OH",
"license": "34007125",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "OH",
"license": "5101012356",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2176309",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003288318",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BWC",
"identifier": "5382801500",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.