Individual
BRADLEY K WEINER
Active
Individual
BRADLEY K WEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
M5578
TX
207X00000X
Orthopaedic Surgery Physician
MD420540
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
328905001
—
TX
01
—
601771109
US DEPT OF LABOR
—
01
—
616771101
US DEPT OF LABOR
—
01
—
616771105
US DEPT OF LABOR
—
01
—
616771110
US DEPT OF LABOR
—
01
—
8W4761
BCBS
—
01
—
P00390793
RAILROAD MEDICARE
—
01
—
P01070474
RR MEDICARE
TX
01
—
P01382178
RR MEDICARE
TX
Enumeration date
04/14/2006
Last updated
01/06/2015
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