Provider Demographics
NPI:1730343823
Name:BRADT, RORY D (DO)
Entity type:Individual
Prefix:DR
First Name:RORY
Middle Name:D
Last Name:BRADT
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Gender:M
Credentials:DO
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Mailing Address - Street 1:709 W ORCHARD DR
Mailing Address - Street 2:SUITE #4
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-1766
Mailing Address - Country:US
Mailing Address - Phone:360-318-8800
Mailing Address - Fax:360-318-1085
Practice Address - Street 1:2075 BARKLEY BLVD
Practice Address - Street 2:SUITE 105
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-6614
Practice Address - Country:US
Practice Address - Phone:360-671-3345
Practice Address - Fax:360-650-1354
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-17
Last Update Date:2021-06-09
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Provider Licenses
StateLicense IDTaxonomies
MI5101017600207P00000X
TXBP10034759207Q00000X
WAOP60262342207Q00000X
WAOP 60262342207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine