Williams, Bradley David

Williams, Bradley David is an sole proprietor health care provider with primary practice located at 3655 Crossings Dr , Prescott AZ 86305-7101. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Williams, Bradley David can be contacted via phone (928) 778-9250.

Contact Information

Primary practice address
3655 Crossings Dr Prescott AZ 86305-7101
Phone: (928) 778-9250
Fax: (928) 778-2306
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 35254 Arizona
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 35254 Arizona

Profile Details

NPI number 1538197587
LBN Legal business name Williams, Bradley David
Credentials MD, PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2006
Last updated Oct 17th, 2019 - about 6 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 1538197587 NPPES
Arizona MEDICAID 099069

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