Provider Demographics
NPI:1184173528
Name:HAMMERS, BRAD
Entity type:Individual
Prefix:
First Name:BRAD
Middle Name:
Last Name:HAMMERS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 BACK SQUARE DR
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42301-7411
Mailing Address - Country:US
Mailing Address - Phone:270-685-5500
Mailing Address - Fax:270-685-5565
Practice Address - Street 1:5000 BACK SQUARE DR
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42301-7411
Practice Address - Country:US
Practice Address - Phone:270-685-5500
Practice Address - Fax:270-685-5565
Is Sole Proprietor?:No
Enumeration Date:2016-09-27
Last Update Date:2016-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator