Provider Demographics
NPI:1467458653
Name:HARMAN, BRADLEY D (MD)
Entity type:Individual
Prefix:DR
First Name:BRADLEY
Middle Name:D
Last Name:HARMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2010 W KATHERINE P RAINES RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CLEBURNE
Mailing Address - State:TX
Mailing Address - Zip Code:76033-7435
Mailing Address - Country:US
Mailing Address - Phone:817-556-3212
Mailing Address - Fax:817-556-2388
Practice Address - Street 1:2010 W KATHERINE P RAINES RD
Practice Address - Street 2:SUITE 300
Practice Address - City:CLEBURNE
Practice Address - State:TX
Practice Address - Zip Code:76033-7435
Practice Address - Country:US
Practice Address - Phone:817-556-3212
Practice Address - Fax:817-556-2388
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2017-01-30
Deactivation Date:2005-09-27
Deactivation Code:
Reactivation Date:2006-08-23
Provider Licenses
StateLicense IDTaxonomies
TXK9559174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5697637OtherCIGNA PROVIDER NUMBER
TX8S9770OtherBCBS
TX7285570OtherAETNA PROVIDER NUMBER
TX167370901Medicaid
TX8G1789Medicare ID - Type Unspecified
TX5697637OtherCIGNA PROVIDER NUMBER