Bradley S Mercer, MD
Pediatrics in Fort Worth, TX. Individual provider (NPI-1).
NPI number1104907005
StatusActive
Last updated in NPPESApr 22, 2021
Details
- NPI
- 1104907005
- Entity type
- Individual (NPI-1)
- Name
- Bradley S Mercer
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 18, 2006
- Certification date
- Apr 22, 2021
- Last updated
- Apr 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | J4351 | TX | Yes |
Practice location
3200 Riverfront DrSte 103
Fort Worth, TX 76107-6570
Phone 817-336-3800 · Fax 817-335-9454
Mailing address
Po Box 733784Dallas, TX 75373-3784
Phone 682-885-1855 · Fax 682-885-1396
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