Paris, Brad

Paris, Brad is an individual health care provider with primary practice located at 900 N 1St St , Springfield IL 62702-3749. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Paris, Brad can be contacted via phone (217) 528-7541.

Contact Information

Primary practice address
900 N 1St St Springfield IL 62702-3749
Phone: (217) 528-7541
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036-116654 Illinois
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 036116654 Illinois

Profile Details

NPI number 1205057254
LBN Legal business name Paris, Brad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated May 21st, 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 1205057254 NPPES
Illinois MEDICAID 036116654

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