# BRADLEY S EILERMAN

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

## Provider details

- **NPI number:** 1841389822
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 39906 | KY | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 39906 | KY | Yes |
| 208000000X | Pediatrics Physician | 35.084080 | OH | — |
| 208000000X | Pediatrics Physician | 39906 | KY | — |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 04/30/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2707128 | — | OH |
| 05 | — | 7100062470 | — | KY |
| 01 | — | P00847795 | RAILROAD MEDICARE | KY |