P Praxis·MD
● Active Type 1 · Individual

DR. Bradford Bootstaylor, M.D.

Pain Medicine·Atlanta, GA· NPI 1497798854 · Enumerated 2006 · 19 years on NPI
Bootstaylor is 1 of 13 pain medicine providers in Atlanta and 1 of 125 in Georgia.
NPI age
19 years
Enumerated 2006-06-14
Primary specialty
Pain Medicine
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-10-28
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 125 active pain medicine providers in Georgia.

NPI age
19 years
↑ 4 yr above median (15 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
1
In the 50% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-06Enumerated in NPPES
2006 2026

Where they practice

Practice location
600 W Peachtree St Nw, Suite 500
Atlanta, GA 303083607
📞 4044750816fax 4048757102
Mailing address
285 Boulevard Ne Ste 345a
Atlanta, GA 303124205
📞 4046186825fax 4044803876

Specialties

  • Pain Medicine Primary
    Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention...
    GA license #041733 taxonomy 208VP0000X
  • Obstetrics & Gynecology
    An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their...
    GA license #041733 taxonomy 207VM0101X

Identifiers

TypeValueNotes
05 (GA) 000702996H
05 (GA) 000702996Q
05 (GA) 000702996T
05 (GA) 000702996G
05 (GA) 000702996J
05 (GA) 000702996K
05 (GA) 000702996V
05 (GA) 000702996F
05 (GA) 000702996S

Practice context

Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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