Bourkland, Bradley A

Bourkland, Bradley A is an individual health care provider with primary practice located at 9601 Townline Rd , Minocqua WI 54548-9099. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Bourkland, Bradley A can be contacted via phone (715) 358-1000.

Contact Information

Primary practice address
9601 Townline Rd Minocqua WI 54548-9099
Phone: (715) 358-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 34488-020 Wisconsin
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 34488-020 Wisconsin

Profile Details

NPI number 1710914213
LBN Legal business name Bourkland, Bradley A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Apr 27th, 2021 - about 3 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 1710914213 NPPES
Wisconsin MEDICAID 32094100

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