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Bradley Ingram, PAC
NPI 1144290321 · on the registry since 2006
Practice
- Address
- 22911 Jefferson Blvd
Smithsburg, MD 21783 - Phone
- (301) 824-3343
- Fax
- (301) 824-6323
- Organisation at this address
- Medical Practices Of Antietam Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Additional practice sites
- 1440 Amherst St, Winchester, VA
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 363AM0700X
- Licence states on file
- VA, MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-03-07
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 Maryland