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

BRADLEY BROWN, ATC

Active Sole Proprietor

BRADLEY BROWN, ATC is a 405300000X healthcare provider located in LINCOLN, Nebraska. NPI 1790225076 is currently active in the NPPES registry. Verify at CMS.

405300000X · LINCOLN, NE

Registration Details

NPI Number
1790225076
Provider Type
Individual
Gender
Male
NPI Issued
Mar 6, 2017 (9.3998259461081 yrs)
Last Updated
Mar 6, 2017
License
74 (NE)
Sole Proprietor
Yes

Practice Information

Address
1 MEMORIAL STADIUM DR
ATHLETIC MEDICINE DEPT.
LINCOLN, NE, 685880031
Browse NE providers · Browse ZIP 68588
Phone
4024724382
Primary Specialty
405300000X
405300000X
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.