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General NPI Number Information
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NPI Number | 1417202326
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Entity Type | Individual
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Provider Name | JASON BRADLEY MEIER M.D., PH. D.
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Gender | Male
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Dates
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Enumeration Date | 07/17/2012
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Last Update Date | 09/18/2024
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Provider Practice Location Address
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Address Line | 676 S FLOYD ST
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City | LOUISVILLE
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State | KY
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Zip | 40202-1840
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Country | US
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Telephone | 502-629-2500
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Fax | 502-629-4445
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Provider Business Mailing Address
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Address Line | PO BOX 776347
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City | CHICAGO
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State | IL
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Zip | 60677-6347
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 01093890A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 54970
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 11016815A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 59669
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License Number State | KY
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