Individual
TONYA ELROD BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2353 BENT CREEK RD, STE 110, AUBURN, AL 36830-6482
(334) 887-8707
(334) 887-8706
Mailing address
2353 BENT CREEK RD STE 110, AUBURN, AL 36830-6482
(334) 887-8707
(334) 887-8707
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23526
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051507393
BLUE CROSS BLUE SHIELD AL
AL
05
—
051507393
—
AL
Enumeration date
02/09/2006
Last updated
04/27/2022
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