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Individual
DR. BRAD H DOUGLAS
Active
Individual
DR. BRAD H DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME118938
FL
2083A0100X
Aerospace Medicine Physician
0101057909
VA
2083A0100X
Aerospace Medicine Physician
51110
NC
2083A0100X
Aerospace Medicine Physician
ME118938
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-027
TRICARE/CHAMPUS
VA
01
—
10124384
OPTIMA HEALTH
VA
01
—
1588625909
VIRGINIA PREMIER HEALTH PLAN
VA
05
—
1588625909
—
NC
05
—
1588625909
—
VA
01
—
507769
ANTHEM BC/BS
VA
01
—
PAR
MULTIPLAN
VA
Enumeration date
03/28/2006
Last updated
01/10/2026
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