Bradburn, Eric W.
Bradburn, Eric W. is an individual health care provider with primary practice located at 475 Shoppers Dr , Winchester KY 40391-1380. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Bradburn, Eric W. can be contacted via phone (859) 744-5111.Contact Information
Primary practice address
475 Shoppers Dr
Winchester KY 40391-1380
Phone: (859) 744-5111
Fax: (859) 744-1177
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35962 | Kentucky |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35962 | Kentucky |
Profile Details
NPI number | 1972559714 |
---|---|
LBN Legal business name | Bradburn, Eric W. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 25th, 2006 |
Last updated | May 7th, 2019 - about 5 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 | 1972559714 | NPPES |
Kentucky | Other | 6400 | MEDICARE GROUP NUMBER |
Kentucky | MEDICAID | 64068257 | MEDICARE GROUP NUMBER |
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