# BRADLEY A BOONE

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

## Provider details

- **NPI number:** 1730151457
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 44117 | OK | — |
| 2086S0129X | Vascular Surgery Physician | P8338 | TX | Yes |

## Other

- **Enumeration date:** 02/06/2006
- **Last updated:** 10/29/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 201292450A | — | OK |
| 05 | — | 333764R401 | — | TX |