Meyer, Bradley Russell

Meyer, Bradley Russell is an individual health care provider with primary practice located at 2301 Highway 71 Ste C , Spirit Lake IA 51360-1184. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Meyer, Bradley Russell can be contacted via phone (712) 336-3750.

Contact Information

Primary practice address
2301 Highway 71 Ste C Spirit Lake IA 51360-1184
Phone: (712) 336-3750
Fax: (712) 336-3730
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO-04161 Iowa
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5262 Nebraska

Profile Details

NPI number 1043207939
LBN Legal business name Meyer, Bradley Russell
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Aug 28th, 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 1043207939 NPPES
Iowa MEDICAID 1043207939

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