Gilliam, Bradley Dale

Gilliam, Bradley Dale is an individual health care provider with primary practice located at 140 Hillcrest Medical Blvd Ste 200 , Waco TX 76712-8897. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Gilliam, Bradley Dale can be contacted via phone (254) 741-1400.

Contact Information

Primary practice address
140 Hillcrest Medical Blvd Ste 200 Waco TX 76712-8897
Phone: (254) 741-1400
Fax: (254) 741-1428
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X P3332 Texas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X P3332 Texas

Profile Details

NPI number 1144463373
LBN Legal business name Gilliam, Bradley Dale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2009
Last updated Dec 29th, 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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