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Individual
ERIC W BRADER
Active
Individual
ERIC W BRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD031838E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000083384
UNISON
PA
05
—
0012401820005
—
PA
01
—
0016091200032
MEDICAID GROUP PIN
PA
01
—
1513390
GATEWAY
PA
01
—
251034
UPMC
PA
01
—
567777JK6
PA MCR GROUP PTAN
PA
01
—
930018789
RR MCR PIN
PA
Enumeration date
09/26/2005
Last updated
01/22/2013
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