Individual
DR. BRAD ROBERT MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1930 AL HIGHWAY 157, CULLMAN, AL 35058-0609
(256) 734-7850
(256) 734-9633
Mailing address
1930 AL HIGHWAY 157, CULLMAN, AL 35058-0609
(256) 734-7850
(256) 734-9633
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
30032
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118130
—
AL
01
—
5114925
BLUE CROSS AND BLUE SHIELD
AL
Enumeration date
11/08/2007
Last updated
10/21/2014
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