Dr. Bradley Dale Gilliam
Orthopaedic Surgeon Sports Medicine Orthopaedic Surgeon
140 Hillcrest Medical Blvd Ste 200
Waco
, Texas 76712-8897
Dr. Bradley Dale Gilliam
Orthopaedic Surgeon Sports Medicine Orthopaedic Surgeon
140 Hillcrest Medical Blvd Ste 200
Waco
, Texas 76712-8897
(254) 724-2111
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About
Features
Specialties
- Orthopaedic Surgeon
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Bradley Dale Gilliam
- Po Box 844658
- Dallas, TX
- Zip : 75284-4658
- Phone : (254) 724-2111
Second Address
- Dr. Bradley Dale Gilliam
- 140 Hillcrest Medical Blvd Ste 200
- Waco, TX
- Zip : 76712-8897
- Fax : (254) 741-1428
- Phone : (254) 741-1400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | P3332 | TX |
| N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | P3332 | TX |
National Provider Identifier
| NPI | 1144463373 |
|---|---|
| Provider Name | Dr. Bradley Dale Gilliam |
| First Address | Dallas, TX 75284-4658 |
| Second Address | Waco, TX 76712-8897 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/04/2009 |
| Last Update Date | 29/12/2021 |
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.