Individual
BRADLEY JACK TISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
506 4TH ST, LA GRANDE, OR 97850-1906
(541) 663-3138
(541) 975-5120
Mailing address
PRISMA HEALTH MEDICAL GROUP FAMILY MEDICINE CENTER, 3209 COLONIAL DRIVE, COLUMBIA, SC 29203
(803) 434-6113
(803) 434-8478
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO219893
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2021
Last updated
08/28/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us