Kovach, Bradley Todd

Kovach, Bradley Todd is an individual health care provider with primary practice located at 801 Anchor Rode Dr Ste 100 , Naples FL 34103-2742. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Kovach, Bradley Todd can be contacted via phone (239) 263-1717.

Contact Information

Primary practice address
801 Anchor Rode Dr Ste 100 Naples FL 34103-2742
Phone: (239) 263-1717
Fax: (239) 403-9410
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 2006012910 Missouri
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X ME98276 Florida
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME98276 Florida

Profile Details

NPI number 1902828049
LBN Legal business name Kovach, Bradley Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Oct 6th, 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 1902828049 NPPES
Other 208189 MO-BLUE SHIELD

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