Swelstad, Brad B

Swelstad, Brad B is an individual health care provider with primary practice located at 13580 Groupe Dr Ste 105 , Woodbridge VA 22192-4163. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Reproductive Endocrinology. Allopathic & Osteopathic Physicians / Reproductive Endocrinology is his primary health care specialty. Swelstad, Brad B can be contacted via phone (703) 680-1770.

Contact Information

Primary practice address
13580 Groupe Dr Ste 105 Woodbridge VA 22192-4163
Phone: (703) 680-1770
Fax: (855) 402-1839
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD60680871 Washington
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X 0101265847 Virginia
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X D0066846 Maryland
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X N0491 Texas
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X A116519 California

Profile Details

NPI number 1033382049
LBN Legal business name Swelstad, Brad B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2008
Last updated Nov 27th, 2018 - about 8 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 1033382049 NPPES
Maryland MEDICAID 018471300

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