Individual
DR. BRIAN K BREDVIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3640 MAIN ST., SUITE 205, SPRINGFIELD, MA 01107-1145
(413) 739-7367
(413) 737-2686
Mailing address
3640 MAIN ST., SUITE 205, SPRINGFIELD, MA 01107-1145
(413) 739-7367
(413) 737-2686
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
152892
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010152892MA01
CT BLUE SHIELD
MA
01
—
0115328
AETNA GROUP ID
MA
01
—
0804380
UNITED HEALTH CARE
MA
01
—
151584
HARVARD PILGRIM
MA
01
—
152892
CONNECTICARE
MA
01
—
1541871003
CIGNA HEALTHCARE
MA
01
—
180032298
RAILROAD MEDICARE
MA
01
—
20689
HEALTH NEW ENGLAND
MA
01
—
J18467
MASS BLUE SHIELD
MA
01
—
P1686817
OXFORD HEALTH PLANS
MA
Enumeration date
09/20/2005
Last updated
05/23/2014
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