Individual
BRAD VINCENT SPAGNOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 PRINCE FREDERICK BLVD, PRINCE FREDERICK, MD 20678-3145
(410) 535-2270
(800) 515-9426
Mailing address
2661 RIVA RD STE 1030, ANNAPOLIS, MD 21401-7131
(410) 571-8733
(410) 571-6309
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D0056098
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111002100
—
MD
Enumeration date
06/17/2005
Last updated
05/15/2026
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