Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRADLEY INGRAM, PAC
ActiveBRADLEY INGRAM, PAC is a Medical Physician Assistant healthcare provider located in SMITHSBURG, Maryland. NPI 1144290321 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · SMITHSBURG, MD
Registration Details
- NPI Number
- 1144290321
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 23, 2006 (20.53246836056 yrs)
- Last Updated
- Mar 7, 2023
- Licenses
-
0110001879 (VA)C0003519 (MD)
Practice Information
- Address
-
22911 JEFFERSON BLVDSMITHSBURG, MD, 217831617Browse MD providers · Browse ZIP 21783
- Phone
- 3018243343
- Fax
- 3018246323
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
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.