Individual
BRADLEY G SOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7945 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1762
(901) 683-0055
(901) 685-9718
Mailing address
7714 POPLAR AVE STE 200, GERMANTOWN, TN 38138-3941
(901) 683-0055
(901) 685-9718
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
17818
MS
207RH0003X
Hematology & Oncology Physician
Primary
36133
TN
207RH0003X
Hematology & Oncology Physician
E3985
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00126193
—
MS
05
—
146833001
—
AR
05
—
205870603
—
MO
05
—
3874769
—
TN
01
—
4038861
BCBS TN
TN
01
—
7245384
AETNA
TN
01
—
99243
BCBS AR
AR
Enumeration date
07/02/2006
Last updated
02/07/2023
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