Bradley, Brian A
Bradley, Brian A is an individual health care provider with primary practice located at 3605 Executive Dr , San Angelo TX 76904-6884. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Bradley, Brian A can be contacted via phone (325) 949-9555.Contact Information
Primary practice address
3605 Executive Dr
San Angelo TX 76904-6884
Phone: (325) 949-9555
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | M3168 | Texas |
Profile Details
| NPI number | 1356383269 |
|---|---|
| LBN Legal business name | Bradley, Brian A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Dec 5th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356383269 | NPPES |
| Texas | Other | 8P9632 | BCBS OF TX |
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