Bradley Neal Shipman in San Antonio - Specialist
Bradley Neal Shipman - NPI 1083616916
Bradley Neal Shipman is a Specialist in San Antonio, Texas. Bradley Neal Shipman practices all healthcare services and medical treatments related to Specialist. The NPI Number for Bradley Neal Shipman is 1083616916. The last update date is 2019-12-16.
Bradley Neal Shipman's current location address is 999 E Basse Rd, San Antonio, Texas. You can contact this provider via phone number 2108243130 and fax number 2105793775. The mailing address for Bradley Neal Shipman is 999 E Basse Rd, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley Neal Shipman |
|---|---|
| Address | 999 E Basse Rd, San Antonio, Texas |
| Phone Number | 2108243130 |
| Fax Number | 2105793775 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1083616916 |
|---|---|
| Provider Enumeration Date | 2005-08-11 |
| Last Updated Date | 2019-12-16 |
Provider Mailing Address Detail
| Address | 999 E Basse Rd |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 78209 |
| Phone Number | 2108243130 |
| Fax Number | 2105793775 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | K2175 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique provider identifier assigned to Bradley Neal Shipman?
The Bradley Neal Shipman has been issued the NPI (National Provider Identifier) 1083616916 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Bradley Neal Shipman located?
The Bradley Neal Shipman is located at 999 E Basse Rd, San Antonio, TX 78209.
What is the Bradley Neal Shipman's specialty and taxonomy code?
The Bradley Neal Shipman's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
When did the Bradley Neal Shipman receive its 1083616916?
The Bradley Neal Shipman was issued its 1083616916 on 2005-08-11, which is the date when the organization was assigned this unique identifier.
When was the information regarding Bradley Neal Shipman most recently updated?
The details pertaining to the Bradley Neal Shipman, including its address, specialty, and other relevant information, were last refreshed on 2019-12-16.