Healthcare Provider Details

I. General information

NPI: 1932333523
Provider Name (Legal Business Name): BRADLEY A HOBBS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2009
Last Update Date: 01/30/2023
Certification Date: 01/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1963 MEMORIAL PARKWAY SW SUITE 5
HUNTSVILLE AL
35801
US

IV. Provider business mailing address

PO BOX 18066
HUNTSVILLE AL
35804-8066
US

V. Phone/Fax

Practice location:
  • Phone: 256-536-9300
  • Fax: 256-535-9032
Mailing address:
  • Phone: 256-536-9300
  • Fax: 256-535-9032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number33343
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: