Provider Demographics
NPI:1386939536
Name:SCHWARZ, BRADLEY THURLOW (DO)
Entity type:Individual
Prefix:DR
First Name:BRADLEY
Middle Name:THURLOW
Last Name:SCHWARZ
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:BRAD
Other - Middle Name:THURLOW
Other - Last Name:SCHWARZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:1009 CLEARVIEW CT
Mailing Address - Street 2:
Mailing Address - City:MURRYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15668-8519
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 NOLTE DRIVE EXT
Practice Address - Street 2:
Practice Address - City:KITTANNING
Practice Address - State:PA
Practice Address - Zip Code:16201-7143
Practice Address - Country:US
Practice Address - Phone:216-244-6910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-16
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS017772207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology