Merritt, Bradley S

Merritt, Bradley S is an individual health care provider with primary practice located at 3131 Troup Hwy , Tyler TX 75701-8350. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Merritt, Bradley S can be contacted via phone (903) 510-7006.

Contact Information

Primary practice address
3131 Troup Hwy Tyler TX 75701-8350
Phone: (903) 510-7006
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X J8315 Texas

Profile Details

NPI number 1023082062
LBN Legal business name Merritt, Bradley S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Oct 13th, 2014 - about 11 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 1023082062 NPPES
Texas MEDICAID 130579906

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