Olsen, Brady Todd

Olsen, Brady Todd is an individual health care provider with primary practice located at 307 Boatner Rd Ste 114 , Eglin Afb FL 32542-1302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Olsen, Brady Todd can be contacted via phone (210) 916-4141.

Contact Information

Primary practice address
307 Boatner Rd Ste 114 Eglin Afb FL 32542-1302
Phone: (210) 916-4141
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS20439 Florida
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 012275 Arizona
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X T5637 Texas

Profile Details

NPI number 1477189108
LBN Legal business name Olsen, Brady Todd
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2020
Last updated Apr 20th, 2026 - about 6 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 1477189108 NPPES
Texas MEDICAID 1477189108

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