Provider Demographics
NPI:1942480199
Name:DOLINSKY, BRAD MATTHEW (MD)
Entity Type:Individual
Prefix:DR
First Name:BRAD
Middle Name:MATTHEW
Last Name:DOLINSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4TH AND INNER LOOP DRIVE
Mailing Address - Street 2:WEED ARMY COMMUNITY HOSPITAL BUILDING 166
Mailing Address - City:FORT IRWIN
Mailing Address - State:CA
Mailing Address - Zip Code:92310-5109
Mailing Address - Country:US
Mailing Address - Phone:760-380-4048
Mailing Address - Fax:
Practice Address - Street 1:4TH AND INNER LOOP DRIVE
Practice Address - Street 2:WEED ARMY COMMUNITY HOSPITAL BUILDING 166
Practice Address - City:FORT IRWIN
Practice Address - State:CA
Practice Address - Zip Code:92310-5109
Practice Address - Country:US
Practice Address - Phone:760-380-4048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-05
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101238436207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology