Individual
DR. BRAD LEE BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
618 S PIERCE ST, EDEN, NC 27288-5863
(336) 635-6804
(336) 627-0778
Mailing address
PO BOX 488, EDEN, NC 27289-0488
(336) 627-0362
(336) 627-0778
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2013-01822
NC
208800000X
Urology Physician
22601
AL
208800000X
Urology Physician
37437-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009986035
—
AL
01
—
300276690
UNITED HEALTH CARE
AL
01
—
51526132
BLUECROSS/BLUE SHIELD
AL
Enumeration date
08/10/2005
Last updated
02/11/2025
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