Hall, Bradley Gerald

Hall, Bradley Gerald is an individual health care provider with primary practice located at 14973 W Bell Rd Ste 100 , Surprise AZ 85374-3878. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Hall, Bradley Gerald can be contacted via phone (623) 815-2900.

Contact Information

Primary practice address
14973 W Bell Rd Ste 100 Surprise AZ 85374-3878
Phone: (623) 815-2900
Fax: (623) 583-1319
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3037 Arizona

Profile Details

NPI number 1295761153
LBN Legal business name Hall, Bradley Gerald
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Feb 20th, 2024 - about 10 months 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 1295761153 NPPES
Arizona Other 85516 MEDICARE PIN #

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