Hernandez, Bradley S

Hernandez, Bradley S is an individual health care provider with primary practice located at 640 Jackson St Mc11102F, Saint Paul MN 55101-2502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Hernandez, Bradley S can be contacted via phone (651) 254-3456.

Contact Information

Primary practice address
640 Jackson St Mc11102F Saint Paul MN 55101-2502
Phone: (651) 254-3456
Fax: (651) 254-5216
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 43232 Wisconsin
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 42321 Minnesota

Profile Details

NPI number 1710954870
LBN Legal business name Hernandez, Bradley S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated May 13th, 2019 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1710954870 NPPES
Minnesota MEDICAID 153490400

Popular Providers