Thomas, Bradley P

Thomas, Bradley P is an sole proprietor health care provider with primary practice located at 2055 Normandie Dr Ste 110 , Montgomery AL 36111-2732. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Thomas, Bradley P can be contacted via phone (334) 288-4624.

Contact Information

Primary practice address
2055 Normandie Dr Ste 110 Montgomery AL 36111-2732
Fax: (334) 280-3628
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD26715 Alabama
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X MD26715 Alabama
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD26715 Alabama

Profile Details

NPI number 1740337542
LBN Legal business name Thomas, Bradley P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2007
Last updated Nov 17th, 2020 - about 5 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 1740337542 NPPES
Alabama MEDICAID 009963640

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