Bradley Scott Graham in Tyler - Dermatology
Bradley Scott Graham - NPI 1083641062
Bradley Scott Graham is a Dermatology in Tyler, Texas. Bradley Scott Graham practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Bradley Scott Graham is 1083641062. The last update date is 2008-05-22.
Bradley Scott Graham's current location address is 1367 Dominion Plaza, Tyler, Texas. You can contact this provider via phone number 9035346200. The mailing address for Bradley Scott Graham is 1367 Dominion Plaza, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley Scott Graham |
|---|---|
| Address | 1367 Dominion Plaza, Tyler, Texas |
| Phone Number | 9035346200 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1083641062 |
|---|---|
| Provider Enumeration Date | 2006-06-27 |
| Last Updated Date | 2008-05-22 |
Provider Mailing Address Detail
| Address | 1367 Dominion Plaza |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757031013 |
| Phone Number | 9035346200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | L1869 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8865K2 | TX | BLUE CROSS AND BLUE SHIELD PAT | |
| 145796201 | TX | -- | |
| 70016784 | TX | RAILROAD MEDICARE PTAN | |
| 8A2682 | TX | BLUE CROSS AND BLUE SHIELD CLI |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Bradley Scott Graham by the Centers for Medicare & Medicaid Services?
The Bradley Scott Graham has been issued the NPI (National Provider Identifier) 1083641062 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Bradley Scott Graham's physical address?
The Bradley Scott Graham is physically located at 1367 Dominion Plaza, in the city of Tyler, TX, with the postal code 757031013.
What is Bradley Scott Graham's area of expertise and its corresponding taxonomy classification?
The Bradley Scott Graham's field of specialization is Dermatology, and it falls under the taxonomy code 207N00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1083641062 to Bradley Scott Graham?
The Bradley Scott Graham received its 1083641062 assignment from the Centers for Medicare & Medicaid Services on 2006-06-27.
When was the Bradley Scott Graham's information last updated?
The Bradley Scott Graham's information was last updated on 2008-05-22.
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