Individual
RUSSELL A BRADT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
700 MONTGOMERY HWY, MB 100-A, BIRMINGHAM, AL 35216-1866
(205) 824-4525
(205) 823-6051
Mailing address
3460 MANOR LN, APT. 301, BIRMINGHAM, AL 35209-5666
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
921
AL
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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