Individual
BRADFORD G CARPER
Active
Individual
BRADFORD G CARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R2E05
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110031614
RAILROAD MEDICARE, PALMETTO
—
05
—
242015618
—
MO
01
—
MA112001
MEDICARE PTAN #
—
Enumeration date
06/02/2005
Last updated
10/07/2008
Update your record
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