BRADLEY E. SAMUELSON, MD PA NPI 1003002262

Internal Medicine (Cardiovascular Disease)

BRADLEY E. SAMUELSON, MD PA

Bradley E. Samuelson, Md Pa is a internal medicine in Wichita Falls, TX. Bradley E. Samuelson, Md Pa NPI is 1003002262. The provider's taxonomy code is 207RC0000X - Internal Medicine. An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

NPI Profile Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

NPI: 1003002262
Provider Name: BRADLEY E. SAMUELSON, MD PA
NPI Entity Type: Organization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).

Is Sole Proprietor?: N/A
Is Organization Subpart?: No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Enumeration Date: 09-21-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date: 02-19-2008 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.


Authorized Official Name: LILI SAMUELSON Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Authorized Official Title: MANAGER
Authorized Official Phone: (940) 687-7100


Taxonomies


The taxonomy code defines the provider type, classification, and specialization. For individual NPIs the license data is associated to the taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. License State Is Primary?
1207RC0000X Additional informationCallout TooltipTaxonomy Code - 207RC0000X
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseYes

Map Location


BRADLEY E. SAMUELSON, MD PA address is 1004 BROOK AVE WICHITA FALLS, TX 76301 Get Directions