Michael Bradley Brough in Eglin Afb - Aerospace Medicine
Michael Bradley Brough - NPI 1255432217
Michael Bradley Brough is a Aerospace Medicine in Eglin Afb, Florida. Michael Bradley Brough practices all healthcare services and medical treatments related to Aerospace Medicine. The NPI Number for Michael Bradley Brough is 1255432217. The last update date is 2023-08-02.
Michael Bradley Brough's current location address is 307 Boatner Rd Ste 114, Eglin Afb, Florida. You can contact this provider via phone number 8508838221. The mailing address for Michael Bradley Brough is 307 Boatner Rd Ste 114, Eglin Afb, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Bradley Brough |
|---|---|
| Address | 307 Boatner Rd Ste 114, Eglin Afb, Florida |
| Phone Number | 8508838221 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.O., MPH |
NPI Number Detail
| NPI Number | 1255432217 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2023-08-02 |
Provider Mailing Address Detail
| Address | 307 Boatner Rd Ste 114 |
|---|---|
| City | Eglin Afb |
| State | Florida (FL) |
| Post Code | 325421302 |
| Phone Number | 8508838221 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Aerospace Medicine |
|---|---|
| Taxonomy | 2083A0100X |
| Licence No | 543 |
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Definition: Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicl |
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What is the unique identifier code issued to Michael Bradley Brough by the Centers for Medicare & Medicaid Services?
The Michael Bradley Brough has been assigned the NPI (National Provider Identifier) 1255432217. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Michael Bradley Brough?
The Michael Bradley Brough is physically situated at 307 Boatner Rd Ste 114, in the city of Eglin Afb, state of FL, with the postal code 325421302.
What is the Michael Bradley Brough's area of specialization and corresponding taxonomy classification?
The Michael Bradley Brough's specialty field is Aerospace Medicine, and it falls under the taxonomy code 2083A0100X, which categorizes healthcare providers based on their specialties.
On what date was the 1255432217 assigned to Michael Bradley Brough?
The Michael Bradley Brough was issued its 1255432217 on 2006-09-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Michael Bradley Brough most recently updated or revised?
The information pertaining to Michael Bradley Brough, including its address, specialty, and other relevant details, was last updated or revised on 2023-08-02.