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NPI Code Detail

MEDICARE: DR. BRADLEY MICHAEL BLAPPERT M.D.

MEDICARE: DR. BRADLEY MICHAEL BLAPPERT M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician2022254LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11225247455OTHERLANPI
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225247455
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRADLEY MICHAEL BLAPPERT M.D.
Provider Business Mailing Address
First Line : 539 BERTRAND DR
Second Line :
City : LAFAYETTE
State : LA
Zip : 70506-5556
Country : US
Telephone Number : 337-294-1230
Fax Number : 833-749-0347
Provider Business Practice Location Address
First Line : 539 BERTRAND DR
Second Line :
City : LAFAYETTE
State : LA
Zip : 70506-5556
Country : US
Telephone Number : 337-294-1230
Fax Number : 833-749-0347
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2007
Last Update Date : 12/03/2021

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