Bradway, Brian

Bradway, Brian is an individual health care provider with primary practice located at 1835 County Road C W Ste 150 , Roseville MN 55113. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Bradway, Brian can be contacted via phone (763) 581-0340.

Contact Information

Primary practice address
1835 County Road C W Ste 150 Roseville MN 55113
Phone: (763) 581-0340
Fax: (763) 581-0341
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 12332 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 12332 Minnesota

Profile Details

NPI number 1992241095
LBN Legal business name Bradway, Brian
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2017
Last updated Jul 23rd, 2018 - about 8 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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