Individual
BRADLEY WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
927 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4306
(256) 539-2728
Mailing address
927 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4306
(256) 539-2728
(256) 539-2666
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101266951
VA
207X00000X
Orthopaedic Surgery Physician
Primary
34816
AL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
34816
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101266951
VA LICENSE
VA
Enumeration date
04/15/2014
Last updated
05/03/2024
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