Individual
BRADLEY RANDALL SELLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
33 NORTH AVE, SUITE 103, TALLMADGE, OH 44278-1925
(330) 633-3883
(330) 633-6658
Mailing address
1320 CORPORATE DR, STE 200, HUDSON, OH 44236-4442
(330) 633-3883
(330) 253-8629
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-08-1663-S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000181144
THREE RIVERS HEALTH PLANS
—
01
—
000000341614
ANTHEM BCBS
—
05
—
2345877
—
OH
01
—
729962
BUCKEYE COMMUNITY HEALTH
—
01
—
796
SUMMACARE HEALTH PLAN
—
01
—
Q039874
HOMETOWN HEALTH NETWORK
—
Enumeration date
02/21/2006
Last updated
03/03/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us