Bagwell, Brad A

Bagwell, Brad A is an sole proprietor health care provider with primary practice located at 7171 N Cocoa Blvd , Cocoa FL 32927-5094. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bagwell, Brad A can be contacted via phone (321) 631-5558.

Contact Information

Primary practice address
7171 N Cocoa Blvd Cocoa FL 32927-5094
Phone: (321) 631-5558
Fax: (321) 632-3226
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN15097 Florida

Profile Details

NPI number 1982637989
LBN Legal business name Bagwell, Brad A
Credentials D.M.D., P.A.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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