# BRADLEY E KOCIAN

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

## Provider details

- **NPI number:** 1841255809
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 36894 | KY | Yes |

## Other

- **Enumeration date:** 04/20/2006
- **Last updated:** 10/17/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000350662 | ANTHEM / NMA | — |
| 01 | — | 000052155H | HUMANA / NMA | — |
| 01 | — | 035903 | SIHO / NMA | — |
| 01 | — | 1191695 | CHA / NMA | — |
| 01 | — | 1839771 | CIGNA / NMA | — |
| 01 | — | 2689211000 | PASSPORT ADVANTAGE / NMA | — |
| 01 | — | 50009782 | PASSPORT / NMA | — |
| 05 | — | 64041445 | — | KY |
| 01 | — | P00206866 | RAILROAD MEDICARE / NMA | KY |