Healthcare Provider Details

I. General information

NPI: 1720308083
Provider Name (Legal Business Name): DAVID BRADLEY AKERS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2010
Last Update Date: 11/18/2021
Certification Date: 11/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 BELLEFONTE DR
GRAYSON KY
41143-1820
US

IV. Provider business mailing address

PO BOX 1595
ASHLAND KY
41105-1595
US

V. Phone/Fax

Practice location:
  • Phone: 606-474-0669
  • Fax: 606-474-0376
Mailing address:
  • Phone: 606-408-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number47468
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: