Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | D0037180 | MD |
NPI | 1013998608 |
---|---|
Provider Name | Brad Howard Norman |
First Address | Fulton, MD 20759-2694 |
Second Address | Silver Spring, MD 20910-1459 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2005 |
Last Update Date | 30/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
058531900 | (05) | MD |
G00121 | (02) | MD |