Individual
DR. BRADLEY FRANKLIN SCHWACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4121 DUTCHMANS LN, SUITE 503, LOUISVILLE, KY 40207-4707
(502) 899-6405
Mailing address
4121 DUTCHMANS LN, SUITE 503, LOUISVILLE, KY 40207-4707
(502) 899-6405
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
248356
NY
208600000X
Surgery Physician
Primary
42655
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000026447Z
NHWM/HUMANA
—
01
—
1105796
NHWM/SIHO
—
01
—
3730433000
NHWM
—
01
—
50025056
NHWM/PHP
—
05
—
7100071890
—
KY
Enumeration date
08/06/2008
Last updated
03/25/2021
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