Individual
BRADLEY ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4700 SETON CENTER PKWY, STE 200, AUSTIN, TX 78759-4107
(512) 439-1000
(512) 439-1081
Mailing address
4700 SETON CENTER PKWY, STE 200, AUSTIN, TX 78759-4107
(512) 439-1000
(512) 439-1081
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
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