Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bradley A Illuminate

Individual provider Pharmacist · NPI 1245928753

Bradley A Illuminate is a Pharmacist in Birmingham, Alabama. Licensed in Alabama. Registered with an NPI since 2023.

Licensed in
AL
In the registry since
2023

Practice location Address checks out

1410 16th St S
Birmingham, AL 35205-6206
Phone: (410) 940-9087
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 22932 (AL)

Record details

NPI number1245928753
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 24, 2023
Last updated in NPPESApril 24, 2023
Certification dateApril 24, 2023
Mailing address1410 16th St S, Birmingham, AL 35205-6206

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