| Bradley M Blappert Md | |
|
5000 Ambassador Caffery Pkwy Building 6b Lafayette LA 70508-6984 | |
| (337) 984-1124 | |
| (337) 984-1436 |
| Full Name | Bradley M Blappert Md |
|---|---|
| Speciality | Clinic/center |
| Location | 5000 Ambassador Caffery Pkwy, Lafayette, Louisiana |
| Authorized Official Name and Position | Bradley M Blappert (OWNER / OPERATOR) |
| Authorized Official Contact | 3379841124 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley M Blappert Md 5000 Ambassador Caffery Pkwy Building 6b Lafayette LA 70508-6984 Ph: (337) 984-1124 | Bradley M Blappert Md 5000 Ambassador Caffery Pkwy Building 6b Lafayette LA 70508-6984 Ph: (337) 984-1124 |
| NPI Number | 1659535847 |
|---|---|
| Provider Enumeration Date | 07/16/2008 |
| Last Update Date | 04/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659535847 | NPI | - | NPPES |
| 1225247455 | Other | LA | DR'S NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2022254 (Louisiana) | Primary |
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