Individual
BRADLEY PHILLIP FUHRMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4800 ALBERTA AVE, DEPARTMENT OF PEDIATRICS, EL PASO, TX 79905-2709
(915) 545-6921
(915) 545-6992
Mailing address
4800 ALBERTA AVE, DEPARTMENT OF PEDIATRICS, EL PASO, TX 79905-2709
(915) 545-6921
(915) 545-6992
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
185870
NY
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
44071
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010058901
UNIVERA
—
01
—
000511197001
BC/BS
—
05
—
0010869770001
—
PA
05
—
01260737
—
NY
01
—
040426000867
FIDELIS
—
01
—
9409268
IHA
—
Enumeration date
10/04/2006
Last updated
08/02/2013
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