Bradley Fisher is one of 637 nurse practitioners practicing in Tyler, Texas .
Bradley Fisher practices with East Texas Functional Medicine Center, LLC.
Registry record (NPPES)
NPI
1033703749
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Family · 363LF0000X
Address on file
419 Wsw Loop 323 Ste 400
Enumerated
Feb 23, 2021
Record last updated
Feb 23, 2021
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
419 Wsw 323 Loop Suite 400 IhmTyler , TX 75701
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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