| Doctor Name: | RICHARD C BRADLEY |
| NPI Number: | 1265541379 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | 25MD00213000 |
| Business Practice Address: | 188 Fries Mill Rd Suite D2 Turnersville, NJ - 080122015 |
| Business Phone Number: | 8566297300 |
| Business Fax Number: | 8566298729 |
| Mailing Address: | 188 Fries Mill Rd, Suite D2 TURNERSVILLE |
| State: | NJ |
| Postal Code: | 080122015 |
| Phone Number: | 8566297300 |
| Fax Number: | 8566298729 |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 09/10/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 25MD00213000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |