Provider Demographics
NPI:1063610335
Name:FEUER, BRADLEY (DO, JD)
Entity type:Individual
Prefix:DR
First Name:BRADLEY
Middle Name:
Last Name:FEUER
Suffix:
Gender:M
Credentials:DO, JD
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Mailing Address - Street 1:TROOP L BUILDING 9330
Mailing Address - Street 2:MILE POST 94 FLORIDA'S TURNPIKE
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:TROOP L BUILDING 9330
Practice Address - Street 2:MILE POST 94 FLORIDA'S TURNPIKE
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467
Practice Address - Country:US
Practice Address - Phone:850-296-8161
Practice Address - Fax:888-980-5924
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-06
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS0005328207Q00000X, 209800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No209800000XAllopathic & Osteopathic PhysiciansLegal Medicine