Bradley Houston M.D.
Organization Active NPI Family Medicine Physician · Olney, IL
NPI 1295909604 · NPPES record last updated Apr 16, 2008
Key facts
- NPI
- 1295909604
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- BRADLEY HOUSTON M.D.
- Practice address
- 605 E Main St
Olney, IL 62450-2163 - Phone
- (618) 392-2940
- Fax
- (618) 392-7225
- NPI assigned
- Apr 16, 2008
- Organization subpart
- No
Authorized official
- Name
- Debbi Houston
- Title
- Office Manager
- Phone
- (618) 392-2940
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
605 E Main St
Olney, IL 62450-2163
Mailing address
605 E Main St
Olney, IL 62450-2163
Phone (618) 392-2940
Other providers in Olney, IL
- Emil Borowiak
- Marissa Bower
- Bowers Drug Store Inc
- Marlissa Boyles
- Brad McMillin, Inc
- Bridgeance Corp
- Herbert Herman Brokhof
- Brookstone Estates of Olney
- Brookstone of Emerald Glen of Olney, LLC
- Daniel Joseph Brown
All providers in Olney, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.