Braudis, James Bradford
Braudis, James Bradford is an sole proprietor health care provider with primary practice located at 1236 Gainesway Dr , Lexington KY 40517-2813. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. Braudis, James Bradford can be contacted via phone (859) 576-1524.Contact Information
Primary practice address
1236 Gainesway Dr
Lexington KY 40517-2813
Phone: (859) 576-1524
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 00140 | Kentucky |
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 00140 | Kentucky |
Profile Details
| NPI number | 1710063169 |
|---|---|
| LBN Legal business name | Braudis, James Bradford |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 28th, 2006 |
| Last updated | Feb 25th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710063169 | NPPES |
| Kentucky | MEDICAID | 80900095 |
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