# MR. BRADLEY WAYNE WELCH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1235235110
- **Gender:** Man
- **Credential:** BS, RVT, RDCS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246XS1301X | Sonography Specialist/Technologist Cardiovascular | — | NULL | — |
| 2471V0105X | Vascular Sonography Radiologic Technologist | — | NULL | Yes |

## Other

- **Enumeration date:** 09/16/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 731512719001 | BLUECROSS BLUESHIELD | OK |