DR. BRADLEY W. BAKOTIC DO NPI 1295710754

NPI Information

NPI: 1295710754
Provider Name: DR. BRADLEY W. BAKOTIC, DO
Classification: Pathology - 207ZD0900X
Entity Type: Individual

Specialization: Dermatopathology

Address:
2001 WESTSIDE PARKWAY
SUITE 290
ALPHARETTA, GA
ZIP 30004
Phone: (877) 376-7284
Get Directions

DR. Bradley W. Bakotic, DO is a dermatopathology pathology in Alpharetta, GA. The provider is a dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. DR. Bradley W. Bakotic, DO NPI is 1295710754. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2001 WESTSIDE PARKWAY
SUITE 290
ALPHARETTA, GA
ZIP 30004-514
Phone: (877) 376-7284
Fax: (770) 475-0533

The enumeration date for this NPI number is 12/7/2005 and was last updated on 2/4/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207ZD0900X	Pathology	Dermatopathology	OS8431	FLORIDA	No
2	207ZP0102X	Pathology	Anatomic Pathology & Clinical Pathology	OS8431	FLORIDA	No
3	207ZD0900X	Pathology	Dermatopathology	048594	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	U32734	MEDICARE UPIN	FLORIDA
2	262219000	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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