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Contact Information

BRADLEY M CEREMUGA, DO
225 E WOOD ST
SPARTANBURG, SC29303-3050
 Phone: 864-560-4420
 Fax: 864-560-5296
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BRADLEY M CEREMUGA · (Male)

NPI # 1679957542
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/10/2015
Last updated 03/25/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 37663
  • SC Medicaid 376630
  • SC Other SCM9985019 MEDICARE PIN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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