Hall, Bradley T

Hall, Bradley T is an individual health care provider with primary practice located at 415 S 28Th Ave , Hattiesburg MS 39401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Hall, Bradley T can be contacted via phone (601) 579-5459.

Contact Information

Primary practice address
415 S 28Th Ave Hattiesburg MS 39401
Phone: (601) 579-5459
Fax: (601) 268-5733
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X DO2749 Tennessee
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 5101015168 Michigan
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 26553 Mississippi

Profile Details

NPI number 1386764132
LBN Legal business name Hall, Bradley T
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Jul 9th, 2020 - about 4 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 1386764132 NPPES
Mississippi MEDICAID 00921701

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