Bertram, Bradley Alan

Bertram, Bradley Alan is an individual health care provider with primary practice located at 1330 Interstate Pkwy , Augusta GA 30909-5625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Bertram, Bradley Alan can be contacted via phone (706) 651-2020.

Contact Information

Primary practice address
1330 Interstate Pkwy Augusta GA 30909-5625
Phone: (706) 651-2020
Fax: (706) 855-6674
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 030011 Georgia

Profile Details

NPI number 1184785008
LBN Legal business name Bertram, Bradley Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated May 28th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184785008 NPPES
Other 1977325 CIGNA
MEDICAID 000389958E CIGNA
Other 18BDFMJ CIGNA
Other 4363115 CIGNA
Other 768090 CIGNA

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