Walker, Bradley A

Walker, Bradley A is an individual health care provider with primary practice located at 80 B Veterans Blvd , Acoma NM 87034. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Walker, Bradley A can be contacted via phone (505) 552-5300.

Contact Information

Primary practice address
80 B Veterans Blvd Acoma NM 87034
Phone: (505) 552-5300
Fax: (505) 552-5490
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X R8130 Texas

Profile Details

NPI number 1114219441
LBN Legal business name Walker, Bradley A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2011
Last updated Jan 4th, 2021 - 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 1114219441 NPPES
New Mexico MEDICAID H3451

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