Simmons, W. Bradley

Simmons, W. Bradley is an individual health care provider with primary practice located at 4001 Sw 13Th St , Gainesville FL 32608-3513. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Psychiatry, which is considered as his primary health care specialty. Simmons, W. Bradley can be contacted via phone (352) 265-4373.

Contact Information

Primary practice address
4001 Sw 13Th St Gainesville FL 32608-3513
Phone: (352) 265-4373
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 34242 Florida

Profile Details

NPI number 1710909148
LBN Legal business name Simmons, W. Bradley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Feb 22nd, 2022 - about 2 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 1710909148 NPPES
New York MEDICAID 01091354

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