Bittle, Bradley Keith

Bittle, Bradley Keith is an individual health care provider with primary practice located at 24 S Mount Auburn Rd , Cape Girardeau MO 63703-4914. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Bittle, Bradley Keith can be contacted via phone (573) 331-5544.

Contact Information

Primary practice address
24 S Mount Auburn Rd Cape Girardeau MO 63703-4914
Phone: (573) 331-5544
Fax: (573) 331-5545
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 2006023028 Missouri
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 2006023028 Missouri

Profile Details

NPI number 1760476519
LBN Legal business name Bittle, Bradley Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Dec 29th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760476519 NPPES
Indiana MEDICAID 200387790
Indiana MEDICAID 1760476519
Indiana MEDICAID 7100095140
Indiana MEDICAID 165391001
Indiana Other 536594
Indiana MEDICAID 206881716
Indiana Other P00382733
Indiana Other 248625

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