Bundrant, Bradly
Bundrant, Bradly is an sole proprietor health care provider with primary practice located at 2001 Hutchins Ave Ste C , Ballinger TX 76821-4453. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Bundrant, Bradly can be contacted via phone (325) 365-5737.Contact Information
Primary practice address
2001 Hutchins Ave Ste C
Ballinger TX 76821-4453
Phone: (325) 365-5737
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | H7275 | Texas |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207QS1201X | H7275 | Texas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | H7275 | Texas |
Profile Details
| NPI number | 1609863760 |
|---|---|
| LBN Legal business name | Bundrant, Bradly |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Mar 1st, 2019 - 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 | 1609863760 | NPPES |
| Texas | Other | 0066DN | BCBS |
| Texas | MEDICAID | 139813338 | BCBS |
| Texas | Other | H7275 | BCBS |
| Texas | MEDICAID | 139813304 | BCBS |
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