Berry, Bradley D
Berry, Bradley D is an individual health care provider with primary practice located at 500 W Broadway St Suite 320, Missoula MT 59802-4003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Berry, Bradley D can be contacted via phone (406) 329-5615.Contact Information
Primary practice address
500 W Broadway St Suite 320
Missoula MT 59802-4003
Phone: (406) 329-5615
Fax: (406) 329-5606
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 10148 | Montana |
Profile Details
| NPI number | 1326083023 |
|---|---|
| LBN Legal business name | Berry, Bradley D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2006 |
| Last updated | Apr 16th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326083023 | NPPES |
| Montana | MEDICAID | 0049556 |
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