Individual provider · Type 1 NPI

Brandon R. Bradley, MD

Student in an Organized Health Care Education/Training Program · Lubbock, TX

NPI number 1295309102 Active

Practice location

3601 4th St # Ms 6211
Lubbock, TX 79430-0002

Call (806) 761-0559 Map

Mailing address

2822 54th St # A
Lubbock, TX 79413-4906

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Emergency Medicine Physician 207P00000XV1037 (TX)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4 other providers at this address

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About NPI 1295309102

Brandon R. Bradley, MD's National Provider Identifier is 1295309102, issued on May 14, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lubbock, TX. The record was last updated on Jun 5, 2024.