Doctor Name: | BRADLEY BROWN |
NPI Number: | 1134519994 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CRNP |
License Number: | 1-124877 |
Business Practice Address: | 1120 S Jackson Hwy Suite 300 Sheffield, AL - 356605777 |
Business Phone Number: | 2563834447 |
Business Fax Number: | 2563817999 |
Mailing Address: | 1120 S Jackson Hwy, Suite 300 SHEFFIELD |
State: | AL |
Postal Code: | 356605777 |
Phone Number: | 2563834447 |
Fax Number: | 2563817999 |
NPI Enumeration Date: | 02/02/2015 |
NPI Last Update Date: | 02/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 1-124877 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |