MEDICARE: BRADLEY J MUSSER 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
1	207Q00000X	Family Medicine Physician	87093	WI
2	207Q00000X	Family Medicine Physician	K2968	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1497700603
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRADLEY J MUSSER M.D.

Provider Business Mailing Address
First Line	:	2821 E PRESIDENT GEORGE BUSH HWY STE 306
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75082-4277
Country	:	US
Telephone Number	:	972-792-7300
Fax Number	:	972-792-7309

Provider Business Practice Location Address
First Line	:	2821 E PRESIDENT GEORGE BUSH HWY STE 306
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75082-4277
Country	:	US
Telephone Number	:	972-792-7300
Fax Number	:	972-792-7309

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	03/09/2026

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Directions to “ BRADLEY J MUSSER M.D.” Practice Location

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