Provider Demographics
NPI:1922019363
Name:FRIEDMANN, BRAD S (DO)
Entity Type:Individual
Prefix:DR
First Name:BRAD
Middle Name:S
Last Name:FRIEDMANN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 UNIVERSITY DR STE 300
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1873
Mailing Address - Country:US
Mailing Address - Phone:215-710-5522
Mailing Address - Fax:215-710-5181
Practice Address - Street 1:380 MIDDLETOWN BLVD STE 700
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047
Practice Address - Country:US
Practice Address - Phone:215-752-8860
Practice Address - Fax:215-752-8022
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOSOO5753L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0011306810002Medicaid
PA30212962OtherKEYSTONE FIRST
PAP01044999OtherRAILROAD MEDICARE
PA4202214OtherAETNA
PA422955OtherHIGHMARK BLUE SHIELD
PA0058563000OtherKEYSTONE IBC
PA8839005OtherCIGNA PA
PA0058563000OtherKEYSTONE IBC
PA0011306810002Medicaid