Stevens, Bradley

Stevens, Bradley is an individual health care provider with primary practice located at 2141 Hamilton Way Ste. 100, San Angelo TX 76904. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Stevens, Bradley can be contacted via phone (325) 245-4000.

Contact Information

Primary practice address
2141 Hamilton Way Ste. 100 San Angelo TX 76904
Phone: (325) 245-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA03638 Texas

Profile Details

NPI number 1205899721
LBN Legal business name Stevens, Bradley
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Jan 8th, 2011 - about 13 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 1205899721 NPPES
Texas Other 8N8582 BLUE CROSS
Texas MEDICAID 182239701 BLUE CROSS

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