Douglas, Brad H

Douglas, Brad H is an individual health care provider with primary practice located at 6900 Tavistock Lakes Blvd Ste 400 , Orlando FL 32827-7593. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Aerospace Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Douglas, Brad H can be contacted via phone (954) 929-5624.

Contact Information

Primary practice address
6900 Tavistock Lakes Blvd Ste 400 Orlando FL 32827-7593
Phone: (954) 929-5624
Fax: (888) 368-2801
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Aerospace Medicine 2083A0100X ME118938 Florida
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME118938 Florida
Allopathic & Osteopathic Physicians / Aerospace Medicine 2083A0100X 51110 North Carolina
Allopathic & Osteopathic Physicians / Aerospace Medicine 2083A0100X 0101057909 Virginia

Profile Details

NPI number 1588625909
LBN Legal business name Douglas, Brad H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Jan 10th, 2026 - about 9 months 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 1588625909 NPPES
Virginia Other 1588625909 VIRGINIA PREMIER HEALTH PLAN
Virginia Other PAR VIRGINIA PREMIER HEALTH PLAN
Virginia MEDICAID 1588625909 VIRGINIA PREMIER HEALTH PLAN
Virginia Other -027 VIRGINIA PREMIER HEALTH PLAN
Virginia Other 10124384 VIRGINIA PREMIER HEALTH PLAN
Virginia Other 1588625909 VIRGINIA PREMIER HEALTH PLAN
Virginia MEDICAID 1588625909 VIRGINIA PREMIER HEALTH PLAN
Virginia Other PAR VIRGINIA PREMIER HEALTH PLAN
Virginia Other 1588625909 VIRGINIA PREMIER HEALTH PLAN
Virginia Other PAR VIRGINIA PREMIER HEALTH PLAN
Virginia Other PAR VIRGINIA PREMIER HEALTH PLAN
Virginia Other 507769 VIRGINIA PREMIER HEALTH PLAN
Virginia Other PAR VIRGINIA PREMIER HEALTH PLAN

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