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Contact Information

BRADLEY C DRURY, MD
914 W IRONWOOD DR STE 101
COEUR D'ALENE, ID83814
 Phone: 208-625-3500
 Fax: 208-625-3501
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for BRADLEY C DRURY · (Male)

NPI # 1366436677
Status Active
Credentials MD
Entity Individual
Enumeration date 09/01/2005
Last updated 04/19/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • ID License # M6015
  • ID Medicaid 00367700
Hospital affiliation(s)
  • KOOTENAI MEDICAL CENTER - (Acute Care)
    2003 KOOTENAI HEALTH WAY
    COEUR D'ALENE, ID 83814
  • NORTHWEST SPECIALTY HOSPITAL - (Acute Care)
    1593 EAST POLSTON AVENUE
    POST FALLS, ID 83854
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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