Individual
BRADLEY G WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
600 S 3RD ST, GADSDEN, AL 35901-5304
(256) 543-5200
Mailing address
PO BOX 10824, BIRMINGHAM, AL 35202-0824
(888) 245-5525
(717) 653-8197
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-068691
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003061789
—
AL
01
—
515-95261
BLUE CROSS BLUE SHIELD OF ALABAMA
AL
Enumeration date
11/23/2008
Last updated
02/28/2009
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