Provider Demographics
NPI:1790104099
Name:WUERFEL, BRAD MARTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:BRAD
Middle Name:MARTIN
Last Name:WUERFEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8050 HOSBROOK RD STE 100
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-2907
Mailing Address - Country:US
Mailing Address - Phone:513-794-0083
Mailing Address - Fax:513-792-3652
Practice Address - Street 1:8050 HOSBROOK RD STE 100
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236
Practice Address - Country:US
Practice Address - Phone:513-794-0083
Practice Address - Fax:513-792-3652
Is Sole Proprietor?:No
Enumeration Date:2014-04-15
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.1333962084P0800X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program