| Doctor Name: | SCOTT PAUL BRADLEY |
| NPI Number: | 1568549558 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | A43585 |
| Business Practice Address: | 933 Geneva Ave Ste A San Francisco, CA - 941123402 |
| Business Phone Number: | 4155660717 |
| Business Fax Number: | 4155662642 |
| Mailing Address: | 933 Geneva Ave, Ste A SAN FRANCISCO |
| State: | CA |
| Postal Code: | 941123402 |
| Phone Number: | 4155660717 |
| Fax Number: | 4154699098 |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 02/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A43585 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |