IndividualActive
Bradley Butcher
NPI 1982549408 · Military Health Care Provider · Fort Polk, LA
Provider details
- NPI number
- 1982549408
- Entity type
- Individual
- Primary specialty
- Military Health Care ProviderOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
1585 3rd St Bldg 285
Fort Polk, LA 71459-5102
Phone: (726) 780-2175
Approximate (ZIP-level) locationGet directions
Mailing address
347 Watson Rd Apt 11
Leesville, LA 71446-3076
Registry dates
- Enumerated
- 2026-04-21
- Last updated
- 2026-04-21
- Certified
- 2026-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.