Individual
DR. BRAD A BAWCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4421
(256) 265-1000
Mailing address
1613 N. HARRISON PARKWAY, SUITE 200, MAILSTOP SH-9A, SUNRISE, FL 33323-2896
(954) 838-2371
(954) 851-1746
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME113393
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/16/2008
Last updated
08/05/2020
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