Individual
ERIC W BRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-4138
(412) 359-8874
Mailing address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-4138
(412) 359-8874
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD031838E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000083384
UNISON
PA
05
—
0012401820005
—
PA
01
—
0016091200032
MEDICAID GROUP PIN
PA
01
—
1513390
GATEWAY
PA
01
—
251034
UPMC
PA
01
—
567777JK6
PA MCR GROUP PTAN
PA
01
—
930018789
RR MCR PIN
PA
Enumeration date
09/26/2005
Last updated
01/22/2013
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