Braudis, James Bradford

Braudis, James Bradford is an sole proprietor health care provider with primary practice located at 1236 Gainesway Dr , Lexington KY 40517-2813. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. Braudis, James Bradford can be contacted via phone (859) 576-1524.

Contact Information

Primary practice address
1236 Gainesway Dr Lexington KY 40517-2813
Phone: (859) 576-1524
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 00140 Kentucky
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 00140 Kentucky

Profile Details

NPI number 1710063169
LBN Legal business name Braudis, James Bradford
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 28th, 2006
Last updated Feb 25th, 2017 - about 7 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 1710063169 NPPES
Kentucky MEDICAID 80900095

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