# DR. BRADLEY GLYNN THOMAS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1104933720
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 42724 | KY | Yes |

## Other

- **Enumeration date:** 08/23/2006
- **Last updated:** 03/01/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01062396A | STATE LICENSE | IN |
| 01 | — | 42724 | STATE LICENSE | KY |