Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 35-084477 | OH |
N | 111NI0900X | Internist | 35-084477 | OH |
Y | 207RI0200X | Infectious Disease | 35-084477 | OH |
NPI | 1043275399 |
---|---|
Provider Name | Bradley E. Britigan |
First Address | Cincinnati, OH 45206-3700 |
Second Address | Cincinnati, OH 45267-0405 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2006 |
Last Update Date | 11/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200483730 | (05) | IN |
2502116 | (05) | OH |
64084130 | (05) | KY |
A03368 | (02) |