Individual
BRADLEY A EISENBERG
Active
Individual
BRADLEY A EISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2079
WV
207R00000X
Internal Medicine Physician
Primary
243071
MA
207R00000X
Internal Medicine Physician
51308
WI
208M00000X
Hospitalist Physician
OS15146
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104051200
—
FL
Enumeration date
10/20/2006
Last updated
09/11/2025
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