Provider Demographics
NPI:1821529744
Name:GUY, BRAD (PARAMEDIC)
Entity Type:Individual
Prefix:
First Name:BRAD
Middle Name:
Last Name:GUY
Suffix:
Gender:M
Credentials:PARAMEDIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19974 DURHAM CT
Mailing Address - Street 2:
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070-5539
Mailing Address - Country:US
Mailing Address - Phone:916-335-3109
Mailing Address - Fax:
Practice Address - Street 1:19974 DURHAM CT
Practice Address - Street 2:
Practice Address - City:SARATOGA
Practice Address - State:CA
Practice Address - Zip Code:95070-5539
Practice Address - Country:US
Practice Address - Phone:916-335-3109
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-22
Last Update Date:2017-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAP26965146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic