Individual
BRADLEY W MERRILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3175 W PROFESSIONAL DRIVE, BAY CITY, MI 48706-2823
(989) 667-3777
(989) 667-9991
Mailing address
501 LAPEER AVE, SAGINAW, MI 48607-1208
(989) 759-6400
(989) 759-6423
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301061522
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
073
COMMUNITY CHOICE
MI
01
—
0998824
BAY COUNTY HEALTH PLAN
—
01
—
1017360
MCLAREN HEALTH PLAN PROFE
—
01
—
1017362
MCLAREN HEALTHPLAN MONITO
—
01
—
150962
GREAT LAKES HEALTH PLAN
—
01
—
381908328
HCAP
—
01
—
4762073
MOLINA HEALTH CARE PROFES
—
05
—
4762073
—
MI
01
—
4762091
MOLINA HEALTH CARE MONITO
—
05
—
4762091
—
MI
01
—
5932486
AETNA
—
01
—
700G361110
BLUE CROSS
—
Enumeration date
04/01/2006
Last updated
04/09/2021
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