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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

NPI # 1407828379
LBN Legal business name BRADLEY S. DRAKE, PC
Authorized official BRAD DRAKE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/06/2006
Last updated 02/01/2023 - About 3 years ago
Identifiers
AL License # S-A49-TA-629
AL Medicaid 009937485
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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