Hawkins, Bradley Brain

Hawkins, Bradley Brain is an individual health care provider with primary practice located at 4435 Highway 90 , Pace FL 32571-2066. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hawkins, Bradley Brain can be contacted via phone (850) 416-5205.

Contact Information

Primary practice address
4435 Highway 90 Pace FL 32571-2066
Phone: (850) 416-5205
Fax: (850) 416-5204
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME84417 Florida

Profile Details

NPI number 1336193143
LBN Legal business name Hawkins, Bradley Brain
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Apr 1st, 2016 - about 8 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 1336193143 NPPES
Florida MEDICAID 263638700

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