Individual
DR. BRADLEY P BRETZ
Active
Individual
DR. BRADLEY P BRETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M8818
ID
208VP0000X
Pain Medicine Physician
M8818
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227200
—
OR
05
—
806623200
—
ID
01
—
P00036984
RAILROAD MEDICARE
ID
01
—
P00754805
RAILROAD MEDICARE
ID
Enumeration date
10/11/2005
Last updated
01/10/2018
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