NPI 1457631350 DR. GARY BRADLEY D.O. PORT ST LUCIE FL. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Dr. Gary Bradley - NPI: 1457631350

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DR. GARY BRADLEY
NPI Number: 1457631350
Entity Type Code: Individual (1)
Gender: M
Credentials: D.O.
License Number: OS12651
Business Practice Address: 1700 Se Hillmoor Dr
Port St Lucie, FL - 349527539
Business Phone Number: 7723359600
Business Fax Number: 8553735193
Mailing Address: 1700 Se Hillmoor Dr,
PORT ST LUCIE
State: FL
Postal Code: 349527539
Phone Number: 7723359600
Fax Number: 8553735193
NPI Enumeration Date: 08/23/2011
NPI Last Update Date: 07/30/2015
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 208D00000X
License Number: OS12651
Healthcare Provider Taxonomy:
(Secondary)
Y
State: FL
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: General Practice
Taxonomy Specialization:
Taxonomy Definition:


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