DR. BRADLEY B RANDALL MD NPI 1134105810

NPI Information

NPI: 1134105810
Provider Name: DR. BRADLEY B RANDALL, MD
Classification: Specialist - 1744G0900X
Entity Type: Individual

Specialization: Graphics Designer

Address:
1305 W 18TH ST
SIOUX FALLS, SD
ZIP 57105
Phone: (800) 284-9806
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DR. Bradley B Randall, MD is a graphics designer specialist in Sioux Falls, SD. DR. Bradley B Randall, MD NPI is 1134105810. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1305 W 18TH ST
SIOUX FALLS, SD
ZIP 57105-401
Phone: (800) 284-9806

The enumeration date for this NPI number is 12/15/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1744G0900X	Specialist	Graphics Designer	2616	SOUTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3815	MEDICARE ID-TYPE UNSPECIFIED	SOUTH DAKOTA
2	D25561	MEDICARE UPIN	SOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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