Individual
BRADLEY BOHNSTEDT
Active
Individual
BRADLEY BOHNSTEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
01082895A
IN
207T00000X
Neurological Surgery Physician
30406
OK
390200000X
Student in an Organized Health Care Education/Training Program
11013861A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300031521
—
IN
Enumeration date
05/22/2008
Last updated
05/16/2025
Update your record
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