Provider profile

Individual

Bradley Scott Graham

Dermatology in Tyler, TX. NPI 1083641062, listed in the CMS NPI Registry since 06/27/2006. Bills Medicare.

NPI 1083641062Specialty DermatologyEnumerated 06/27/2006
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14 days free, no card

Registry and Medicare facts

Practice location
1367 Dominion Plaza, Tyler, TX 75703
CMS NPI Registry
Phone
(903) 534-6200
CMS NPI Registry
Specialty
Dermatology
CMS NPI Registry
Enumeration date
06/27/2006
CMS NPI Registry
Bills Medicare
Yes
CMS Medicare 2024
Medicare patients
11,256 Part B, 64 with Part D prescriptions
CMS Medicare 2024

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