Provider Demographics
NPI:1649491135
Name:IRVING, BRAD ALAN (DO)
Entity type:Individual
Prefix:DR
First Name:BRAD
Middle Name:ALAN
Last Name:IRVING
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:2221 HEALTH DR SW
Mailing Address - Street 2:SUITE 2100
Mailing Address - City:WYOMING
Mailing Address - State:MI
Mailing Address - Zip Code:49519-9700
Mailing Address - Country:US
Mailing Address - Phone:616-532-5025
Mailing Address - Fax:616-532-6126
Practice Address - Street 1:2221 HEALTH DR SW STE 2100
Practice Address - Street 2:
Practice Address - City:WYOMING
Practice Address - State:MI
Practice Address - Zip Code:49519-9650
Practice Address - Country:US
Practice Address - Phone:616-252-4410
Practice Address - Fax:616-252-4480
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2018-03-17
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Provider Licenses
StateLicense IDTaxonomies
MI5101016639207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology