Stephens, Bradley Herman

Stephens, Bradley Herman is an individual health care provider with primary practice located at 800 N 1St St , Springfield IL 62702-3778. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Stephens, Bradley Herman can be contacted via phone (217) 528-7541.

Contact Information

Primary practice address
800 N 1St St Springfield IL 62702-3778
Phone: (217) 528-7541
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 2015031875 Missouri
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 036160860 Illinois

Profile Details

NPI number 1538470109
LBN Legal business name Stephens, Bradley Herman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2010
Last updated Oct 3rd, 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 1538470109 NPPES
Missouri MEDICAID 200082495

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