Moody, Brad Robert

Moody, Brad Robert is an individual health care provider with primary practice located at 1930 Al Highway 157 , Cullman AL 35058-0609. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Moody, Brad Robert can be contacted via phone (256) 734-7850.

Contact Information

Primary practice address
1930 Al Highway 157 Cullman AL 35058-0609
Phone: (256) 734-7850
Fax: (256) 734-9633
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 30032 Alabama

Profile Details

NPI number 1073793899
LBN Legal business name Moody, Brad Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2007
Last updated Oct 21st, 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 1073793899 NPPES
Alabama Other 5114925 BLUE CROSS AND BLUE SHIELD
Alabama MEDICAID 118130 BLUE CROSS AND BLUE SHIELD

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