Individual
BRADLEY ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
331 E 8TH ST, ANNISTON, AL 36207-5731
(256) 236-3403
(256) 241-9909
Mailing address
1225 WOODMONT RD, ANNISTON, AL 36207-1702
(256) 473-9636
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
841-13229
AL
363LF0000X
Family Nurse Practitioner
1-136329
AL
Other
Enumeration date
06/17/2015
Last updated
08/11/2026
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