Williams, Bradly Robert

Williams, Bradly Robert is an individual health care provider with primary practice located at 4300 Marketpointe Dr Ste 100 , Bloomington MN 55435-5435. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Williams, Bradly Robert can be contacted via phone (952) 857-1554.

Contact Information

Primary practice address
4300 Marketpointe Dr Ste 100 Bloomington MN 55435-5435
Phone: (952) 857-1554
Fax: (952) 835-9880
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 43827 Minnesota

Profile Details

NPI number 1184683245
LBN Legal business name Williams, Bradly Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2006
Last updated Nov 17th, 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 1184683245 NPPES
Minnesota Other 43827 MEDICAL LICENSE
Minnesota MEDICAID 034979800 MEDICAL LICENSE

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