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Contact Information

BRADLEY S. DRAKE, PC
697 HIGHWAY 31 NW
SUITE 41
HARTSELLE, AL35640-4408
 Phone: 256-773-3997
 Fax: 256-773-3997
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for BRADLEY S DRAKE PC · (Female)

NPI Number 1407828379
Status Active
Credentials
Entity Individual
Enumeration date 02/06/2006
Last updated 02/01/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • AL License # S-A49-TA-629
  • AL Medicaid 009937485
Hospital affiliation(s) Not Available
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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