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:
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Health care specialties

SpecialtyCodeLicense #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 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326083023 NPPES
Montana MEDICAID 0049556

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