Basic Information
| Provider Information | |||||||||
| NPI: | 1578531828 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KROPP | ||||||||
| FirstName: | BRADLEY | ||||||||
| MiddleName: | P | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 99371 | ||||||||
| Address2: | |||||||||
| City: | FORT WORTH | ||||||||
| State: | TX | ||||||||
| PostalCode: | 761990371 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6828851855 | ||||||||
| FaxNumber: | 6828857347 | ||||||||
| Practice Location | |||||||||
| Address1: | 1129 6TH AVE | ||||||||
| Address2: | |||||||||
| City: | FORT WORTH | ||||||||
| State: | TX | ||||||||
| PostalCode: | 761044306 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6823030376 | ||||||||
| FaxNumber: | 6823030377 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/12/2006 | ||||||||
| LastUpdateDate: | 10/06/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208800000X | 19716 | OK | N | Allopathic & Osteopathic Physicians | Urology | 2088P0231X | 19716 | OK | N | Allopathic & Osteopathic Physicians | Urology | Pediatric Urology | 2088P0231X | R0052 | TX | Y | Allopathic & Osteopathic Physicians | Urology | Pediatric Urology |
No ID Information.