Individual
BRADLEY D CARMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO FACOS
Contact information
Practice address
400 MATTHEW ST, SUITE 401, MARIETTA, OH 45750-1644
(740) 374-2252
(740) 374-4974
Mailing address
PO BOX 449, MARIETTA, OH 45750-0449
(740) 374-4500
(740) 374-5887
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34004869
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000490579
ANTHEM
OH
01
—
000000696936
ANTHEM
OH
05
—
0125817000
—
WV
05
—
0817754
—
OH
05
—
2034873
—
OH
01
—
P00789302
RRMCR
OH
Enumeration date
06/06/2006
Last updated
08/13/2020
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