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Physician Compare National (NPI:1598746943)

HEALTHCARE PROVIDER: BRADLEY LAMAR CARDEN M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1598746943
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 7214849637
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20031105000270
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name CARDEN
Individual professional last name
Provider First Name BRADLEY
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.
Provider Credential Text MD
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 1974
Individual professional's medical school graduation year
Primary Specialty FAMILY MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 GENERAL PRACTICE
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties GENERAL PRACTICE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 2 GILMORE RD
Group Practice or individual's line 1 address
City FORT MITCHELL
Group Practice or individual's city
State AL
Group Practice or individual's state
Zip Code 368564442
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 010168
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 JACK HUGHSTON MEMORIAL HOSPITAL
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 110064
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 MIDTOWN MEDICAL CENTER
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 110129
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 ST FRANCIS HOSPITAL
Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment Y

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