Individual
BRAD A PRATHER
Active
Individual
BRAD A PRATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01068442A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
320664
—
SC
01
—
P00786491
RR MEDICARE
SC
Enumeration date
02/16/2007
Last updated
03/08/2021
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