Garner, Bradford P

Garner, Bradford P is an individual health care provider with primary practice located at 550 S Hudson Ave , Aurora MO 65605-2362. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Garner, Bradford P can be contacted via phone (417) 678-5176.

Contact Information

Primary practice address
550 S Hudson Ave Aurora MO 65605-2362
Phone: (417) 678-5176
Fax: (417) 678-0675
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 6533 Kansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2009001435 Missouri

Profile Details

NPI number 1164462602
LBN Legal business name Garner, Bradford P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jan 19th, 2010 - about 16 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 1164462602 NPPES
Kansas Other 105594 BLUE CROSS BLUE SHIELD
Kansas Other 431560263 BLUE CROSS BLUE SHIELD
Kansas Other P00748476 BLUE CROSS BLUE SHIELD
Kansas MEDICAID 1164462602 BLUE CROSS BLUE SHIELD

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