Individual
BRAD M COGAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 SAINT PAUL PL, RADIOLOGY DEPT, BALTIMORE, MD 21202-2102
(410) 332-9266
(410) 545-4255
Mailing address
PO BOX 64075, BALTIMORE, MD 21264-4075
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
D0030793
MD
2085R0203X
Therapeutic Radiology Physician
Primary
D0030793
MD
2085U0001X
Diagnostic Ultrasound Physician
D0030793
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S187 / 0006
BLUECHOICE
MD
Enumeration date
05/23/2006
Last updated
09/11/2025
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