Individual
BRADLEY BRIMHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 358-4000
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
36587
CO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
M7872
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01365873
—
CO
05
—
06328019
—
MS
05
—
350932501
—
TX
01
—
350932502
CSHCN
TX
Enumeration date
10/09/2006
Last updated
12/07/2015
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