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Individual
BRADLEY CHARLES ROBERTSON
Active
Individual
BRADLEY CHARLES ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
D0037409
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
099N997F
MEDICARE
MD
01
—
1056903
UNITED HEALTHCARE
MD
01
—
2432226
CIGNA
MD
01
—
3115795
OPTIMUM CHOICE
MD
01
—
45663365
AETNA
MD
01
—
52997412
CAREFIRST
MD
01
—
K058 0001
CAREFIRST
DC
01
—
P00185846
RAILROAD MEDICARE
GA
Enumeration date
08/12/2006
Last updated
03/14/2013
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