Provider Demographics
NPI:1902493653
Name:HILDERMAN, BRAD ALLEN
Entity Type:Individual
Prefix:MR
First Name:BRAD
Middle Name:ALLEN
Last Name:HILDERMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5101 SW 21ST ST STE 100
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-4419
Mailing Address - Country:US
Mailing Address - Phone:785-271-6966
Mailing Address - Fax:785-272-6874
Practice Address - Street 1:5101 SW 21ST ST STE 100
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-4419
Practice Address - Country:US
Practice Address - Phone:785-271-6966
Practice Address - Fax:785-272-6874
Is Sole Proprietor?:No
Enumeration Date:2020-12-29
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS571237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist