Dr. John Bradley Bieltz
Orthopaedic Surgeon
510 Mount Pleasant Rd
Thomson
, Georgia 30824-8139
Dr. John Bradley Bieltz
Orthopaedic Surgeon
510 Mount Pleasant Rd
Thomson
, Georgia 30824-8139
(706) 597-0790
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About
Features
Specialties
- Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. John Bradley Bieltz
- Po Box 720
- Thomson, GA
- Zip : 30824-0720
- Fax : (706) 597-0790
- Phone : (706) 597-9700
Second Address
- Dr. John Bradley Bieltz
- 510 Mount Pleasant Rd
- Thomson, GA
- Zip : 30824-8139
- Fax : (706) 597-0790
- Phone : (706) 597-9700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | 038689 | GA |
National Provider Identifier
| NPI | 1023003431 |
|---|---|
| Provider Name | Dr. John Bradley Bieltz |
| First Address | Thomson, GA 30824-0720 |
| Second Address | Thomson, GA 30824-8139 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/09/2005 |
| Last Update Date | 09/09/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00623147A | (05) | GA |
| 200038452 | RR MEDICARE (01) | GA |
| 616528 | BCBS (01) | GA |
| E52097 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.