Marker, Bradley Tyler

Marker, Bradley Tyler is an individual health care provider with primary practice located at 4300 W Main St Suite 24, Dothan AL 36305-1054. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Marker, Bradley Tyler can be contacted via phone (334) 793-1534.

Contact Information

Primary practice address
4300 W Main St Suite 24 Dothan AL 36305-1054
Phone: (334) 793-1534
Fax: (334) 793-6840
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD.29548 Alabama
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1073717849
LBN Legal business name Marker, Bradley Tyler
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2007
Last updated Dec 23rd, 2014 - about 10 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 1073717849 NPPES
Other BP1-0017854 INSTITUTIONAL PERMIT

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