Rudge, Bradley Keith

Rudge, Bradley Keith is an individual health care provider with primary practice located at 2017 Mallory Ln , Franklin TN 37067-8213. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Rudge, Bradley Keith can be contacted via phone (615) 656-3239.

Contact Information

Primary practice address
2017 Mallory Ln Franklin TN 37067-8213
Phone: (615) 656-3239
Fax: (615) 771-6853
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD015449 Tennessee

Profile Details

NPI number 1306972179
LBN Legal business name Rudge, Bradley Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Apr 19th, 2023 - about 3 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 1306972179 NPPES
Tennessee Other 4097673 BLUE CROSS BLUE SHIELD

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