DR. BRADLEY WILLIS
NPI 1922419605
Veterinarian in Athens, IL
About Dr. Bradley Willis NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BRADLEY WILLIS (NPI 1922419605) is an individual veterinarian provider in Athens, Illinois, licensed in Illinois (090008708) and active in the NPI registry since May 2014.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bradley Willis's NPI number?
The NPI number for Bradley Willis is 1922419605. It was assigned to this individual provider in the NPPES registry on May 15, 2014.
Where is Bradley Willis located?
Bradley Willis practices at 105 N Main St, Athens, IL 62613. The listed phone number is (217) 636-7388.
What is Bradley Willis's specialty?
The primary specialty registered for this NPI is Veterinarian with taxonomy code 174M00000X.
When was this NPI record last updated?
The NPPES record for Bradley Willis was last updated on May 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Bradley Willis · NPI 1922419605
Veterinarian provider in Athens, Illinois. Individual provider, active in the CMS NPPES registry since May 15, 2014.
## Identity
- **NPI:** 1922419605 (Entity type: Individual)
- **Enumerated:** May 15, 2014
- **Primary specialty:** Veterinarian · taxonomy 174M00000X
- **State license:** 090008708 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 105 N MAIN ST, Athens, IL 62613-8901
- **Phone:** (217) 636-7388
## Record status
- **NPPES last updated:** May 15, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1922419605) · Data from the CMS NPPES public registry.