Individual provider · NPI-1

Dr. Brad A Bawcom, MD

Anesthesiology · Huntsville, AL

NPI number1285894923
StatusActive
Last updated in NPPESAug 5, 2020

Details

NPI
1285894923
Entity type
Individual (NPI-1)
Name
Dr. Brad A Bawcom
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 16, 2008
Certification date
Aug 5, 2020
Last updated
Aug 5, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207L00000X AnesthesiologyME113393FLYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

101 Sivley Rd Sw
Huntsville, AL 35801-4421

Phone 256-265-1000

Mailing address

1613 N. Harrison Parkway
Suite 200, Mailstop Sh-9a
Sunrise, FL 33323-2896

Phone 954-838-2371 · Fax 954-851-1746

Other practice locations

245 Governors Dr Se
Huntsville, AL 35801-2700

Phone 256-539-9471

8375 Highway 72 W
Madison, AL 35758-9573

Phone 256-539-9471

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