Individual
DR. BRADLEY ROBERT FREIDEL
Active
Individual
DR. BRADLEY ROBERT FREIDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
324
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07035
BLUE CROSS PROVIDER #
NE
01
—
200652429
UNITED HEALTHCARE
NE
05
—
200652429
—
NE
01
—
20065242968066
TRICARE PROVIDER
NE
01
—
235966
MIDLANDS CHOICE
NE
01
—
P00128031
RAILROAD MEDICARE
MT
Enumeration date
03/29/2007
Last updated
01/10/2013
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