# H. BRADFORD ALLEN

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

## Provider details

- **NPI number:** 1770670879
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | E5621 | AR | Yes |

## Other

- **Enumeration date:** 10/09/2006
- **Last updated:** 02/07/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 181296001 | — | AR |
| 01 | — | 5H307B481 | MEDICARE PTAN | AR |
| 01 | — | 5H608 | ARKANSAS BLUE CROSS BLUE SHEILD | AR |