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Individual
BRADLEY EDWARD LOUIS
Active
Individual
BRADLEY EDWARD LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
DO.4795
AL
208000000X
Pediatrics Physician
Primary
T-5122
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2023
Last updated
08/07/2026
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