Individual
BRANDON R BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 4TH ST # MS 6211, LUBBOCK, TX 79430-0002
(806) 761-0559
Mailing address
2822 54TH ST # A, LUBBOCK, TX 79413-4906
(806) 683-9171
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
V1037
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
TX
Other
Enumeration date
05/14/2021
Last updated
06/05/2024
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