Bradley K Rodu
Oral and Maxillofacial Pathology
619 19th Street South
Birmingham
, Alabama 35233
Bradley K Rodu
Oral and Maxillofacial Pathology
619 19th Street South
Birmingham
, Alabama 35233
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Bradley K Rodu
- P O Box 55310
- Birmingham, AL
- Zip : 35255-5310
- Phone :
Second Address
- Bradley K Rodu
- 619 19th Street South
- Birmingham, AL
- Zip : 35233
- Phone : (205) 934-6600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | 3628 | AL |
National Provider Identifier
| NPI | 1588777064 |
|---|---|
| Provider Name | Bradley K Rodu |
| First Address | Birmingham, AL 35255-5310 |
| Second Address | Birmingham, AL 35233 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/08/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 38887 | BCBS OF AL (01) | AL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.