Provider Demographics
NPI:1902818081
Name:BRADT, DAVID A (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:A
Last Name:BRADT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:JOHNS HOPKINS HOSPITAL DEPT OF EMERGENCY MEDICINE
Mailing Address - Street 2:600 N. WOLFE ST., MARBURG B-187
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21287-0001
Mailing Address - Country:US
Mailing Address - Phone:410-955-8708
Mailing Address - Fax:410-955-0141
Practice Address - Street 1:JOHNS HOPKINS HOSPITAL DEPT OF EMERGENCY MEDICINE
Practice Address - Street 2:600 N. WOLFE ST., MARBURG B-187
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0001
Practice Address - Country:US
Practice Address - Phone:410-955-8708
Practice Address - Fax:410-955-0141
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD36494207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine