Individual
BRADLEY K WEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6550 FANNIN ST, SUITE 2500, HOUSTON, TX 77030-2717
(713) 441-9000
(713) 790-2058
Mailing address
6550 FANNIN ST, SUITE 2500, HOUSTON, TX 77030-2717
(713) 441-9000
(713) 790-2058
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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