Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
DR. BRAD L SUPRENANT
Active
Individual
DR. BRAD L SUPRENANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
02001098A
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
036071427
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000095316
ANTHEM PIN
IN
05
—
036071247
—
IL
01
—
060030169
RR MEDICARE
—
Enumeration date
12/07/2005
Last updated
03/29/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers