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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRADLEY BAUMAN, ATC

Active

BRADLEY BAUMAN, ATC is a Specialist/Technologist, Surgical healthcare provider located in ROCKFORD, Illinois. NPI 1114323409 is currently active in the NPPES registry. Verify at CMS.

Specialist/Technologist, Surgical · ROCKFORD, IL

Registration Details

NPI Number
1114323409
Provider Type
Individual
Gender
Male
NPI Issued
Nov 13, 2014 (11.722825896201 yrs)
Last Updated
Nov 13, 2014
License
096003283 (IL)

Practice Information

Address
5045 SILVER FOX TRL
ROCKFORD, IL, 611147085
Browse IL providers · Browse ZIP 61114
Phone
8153157662
Primary Specialty
Specialist/Technologist, Surgical
246Z00000X

Other Specialist/Technologist, Surgical Providers in ROCKFORD, IL

Name Credential NPI
CYNTHIA GENRICH COSMETOLOGIST 1538621107
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.