# DR. BRAD H DOUGLAS

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

## Provider details

- **NPI number:** 1588625909
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME118938 | FL | Yes |
| 2083A0100X | Aerospace Medicine Physician | 0101057909 | VA | — |
| 2083A0100X | Aerospace Medicine Physician | 51110 | NC | — |
| 2083A0100X | Aerospace Medicine Physician | ME118938 | FL | — |

## Other

- **Enumeration date:** 03/28/2006
- **Last updated:** 01/10/2026

## 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 |