Individual
BRADLEY ADAMS
Active
Individual
BRADLEY ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
J5680
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1325664-03
CSHCN
TX
05
—
1325664-03
—
TX
05
—
1325664-07
—
TX
01
—
200016876
RAILROAD MEDICARE
TX
01
—
AD082C509
BC/BS
TX
Enumeration date
06/02/2005
Last updated
11/20/2019
Update your record
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