IndividualActive
Bradley Fricke, M.D.
NPI 1174701262 · Vascular & Interventional Radiology Physician · Conyers, GA
Provider details
- NPI number
- 1174701262
- Entity type
- Individual
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 067879 (GA)
Practice location
1412 Milstead Ave Ne
Conyers, GA 30012-3877
Phone: (770) 607-7339
Fax: (770) 607-0789
Mailing address
Po Box 200096
Cartersville, GA 30120-9002
Registry dates
- Enumerated
- 2008-01-31
- Last updated
- 2022-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.