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Individual

MR. BRADLEY N BULLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1607 WESTGATE CIRCLE, SUITE 200, BRENTWOOD, TN 37027
(615) 376-8195
(615) 376-2601
Mailing address
1607 WESTGATE CIRCLE, SUITE 200, BRENTWOOD, TN 37027
(615) 376-8195
(615) 376-2601

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27418
TN
208000000X
Pediatrics Physician
27418
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3710944
TN
Enumeration date
07/03/2006
Last updated
12/27/2010
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