| Doctor Name: | BRIAN PATRICK BRADBEE |
| NPI Number: | 1114332566 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CNP |
| License Number: | COA.16045-NP |
| Business Practice Address: | 935 Snyder Ave Montpelier, OH - 435431251 |
| Business Phone Number: | 4194853106 |
| Business Fax Number: | 4194858776 |
| Mailing Address: | 442 W High St, BRYAN |
| State: | OH |
| Postal Code: | 435061681 |
| Phone Number: | 4196334025 |
| Fax Number: | 4196334527 |
| NPI Enumeration Date: | 06/24/2014 |
| NPI Last Update Date: | 07/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | COA.16045-NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |