Individual ProviderAaron BradleyPodiatristPodiatric Medicine & Surgery Service ProvidersPractice Address2701 N Decatur Rd, Decatur, GA 30033-5918(404) 501-1000PECOS EnrollmentBased on the most recent information from CMS, provider Aaron Bradley is legally eligible to order and refer claims for Part B, HHA and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1508339151Provider TypeIndividualFull NameBradley, AaronTitleDr.GenderMaleSole ProprietorYesEnumeration Date1/7/2019Last Updated4/26/2024Contact InformationPractice LocationPractice Address2701 N Decatur Rd, Decatur, GA 30033-5918Phone(404) 501-1000FaxUnlisted FaxMailing LocationMailing Address8245 Meadowbridge Rd, Mechanicsville, VA 23116-2329PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode213ES0103XPrimaryDescriptionPodiatristPodiatric Medicine & Surgery Service ProvidersLicensePOD001402Georgia