Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRADLEY LLOYD FRICKE, M.D.
ActiveDR. BRADLEY LLOYD FRICKE, M.D. is a Therapeutic Radiology healthcare provider located in CONYERS, Georgia. NPI 1174701262 is currently active in the NPPES registry. Verify at CMS.
Therapeutic Radiology · CONYERS, GA
Registration Details
- NPI Number
- 1174701262
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 31, 2008 (18.562380859401 yrs)
- Last Updated
- Apr 13, 2022
- Licenses
-
067879 (GA)067879 (GA)
Practice Information
- Address
-
1412 MILSTEAD AVE NECONYERS, GA, 300123877Browse GA providers · Browse ZIP 30012
- Phone
- 7706077339
- Fax
- 7706070789
- Primary Specialty
-
Therapeutic Radiology
2085R0204X
- Additional Specialty
- Therapeutic Radiology
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.