Cochran, Bradley M

Cochran, Bradley M is an individual health care provider with primary practice located at 200 Medical Center Drive , Fort Payne AL 35968. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Cochran, Bradley M can be contacted via phone (256) 997-2189.

Contact Information

Primary practice address
200 Medical Center Drive Fort Payne AL 35968
Phone: (256) 997-2189
Fax: (256) 638-7445
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 21716 Alabama

Profile Details

NPI number 1710030689
LBN Legal business name Cochran, Bradley M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Aug 15th, 2014 - about 12 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 1710030689 NPPES
Alabama MEDICAID 009941342
Alabama Other 051501857
Alabama MEDICAID 051501857
Alabama Other 515-39183

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