Search › New York › 207P00000X
Bradley Tait, MD
NPI 1770046997 · on the registry since 2019 · sole proprietor
Practice
- Address
- Usa Meddac
11050 Mount Belvedere Blvd
Fort Drum, NY 13602 - Phone
- (315) 772-2778
- Clinicians at this address
- 44
Additional practice sites
- 1120 15th St, Augusta, GA
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Also registered as
- 207P00000X
- Licence states on file
- NY, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-08-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York