Individual
BRADLEY A HARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11108 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845-1730
(260) 266-5700
(260) 266-5920
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01067825A
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
01067825A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000666763
ANTHEM
IN
01
—
3076273
OH MEDICAID
OH
01
—
P00867135
RAILROAD MEDICARE
IN
Enumeration date
01/04/2007
Last updated
06/03/2025
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