IndividualActive
Bradford Bootstaylor, M.D.
NPI 1497798854 · Pain Medicine Physician · Atlanta, GA
Provider details
- NPI number
- 1497798854
- Entity type
- Individual
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 041733 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
600 W Peachtree St Nw
Suite 500
Atlanta, GA 30308-3607
Phone: (404) 475-0816
Fax: (404) 875-7102
Approximate (ZIP-level) locationGet directions
Mailing address
285 Boulevard Ne Ste 345a
Atlanta, GA 30312-4205
Registry dates
- Enumerated
- 2006-06-14
- Last updated
- 2022-10-28
- Certified
- 2022-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.