Braddock, Adam

Braddock, Adam is an individual health care provider with primary practice located at 7910 Frost St Suite 350, San Diego CA 92123-2771. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Braddock, Adam can be contacted via phone (858) 496-4800.

Contact Information

Primary practice address
7910 Frost St Suite 350 San Diego CA 92123-2771
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X A114671 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 125-053642 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A114671 California

Profile Details

NPI number 1013163542
LBN Legal business name Braddock, Adam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2008
Last updated May 6th, 2020 - 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.

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