Individual
BRADLEY WILSON PEDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2601 VILLAGE PROFESSIONAL DR N, OPELIKA, AL 36801-4784
(334) 528-5400
(334) 528-5421
Mailing address
2601 VILLAGE PROFESSIONAL DR N, OPELIKA, AL 36801-4784
(334) 528-5400
(334) 528-5421
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.37069
AL
207RC0000X
Cardiovascular Disease Physician
Primary
MD.37069
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2015
Last updated
08/16/2021
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