Individual
BRAD A PRATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 HOSPITAL LN, SUITE 300, DANVILLE, IN 46122-1989
(317) 718-4676
(317) 718-2476
Mailing address
1100 SOUTHFIELD DR, SUITE 1370, PLAINFIELD, IN 46168-4498
(317) 837-5571
(317) 837-5580
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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