IndividualActive
Bradley Allen, MD
NPI 1447201918 · Family Medicine Physician · Beaver Dam, WI
Provider details
- NPI number
- 1447201918
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 35870-020 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
130 Corporate Dr
Beaver Dam, WI 53916-3116
Phone: (920) 887-3102
Fax: (920) 855-8790
Approximate (ZIP-level) locationGet directions
Mailing address
130 Corporate Dr
Beaver Dam, WI 53916-3116
Registry dates
- Enumerated
- 2006-05-12
- Last updated
- 2021-03-01
- Certified
- 2021-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.