Bradford, Charles

Bradford, Charles is an individual health care provider with primary practice located at 1201 S Grand Blvd , Saint Louis MO 63104-1016. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Bradford, Charles can be contacted via phone (314) 977-4440.

Contact Information

Primary practice address
1201 S Grand Blvd Saint Louis MO 63104-1016
Phone: (314) 977-4440
Fax: (314) 977-3370
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209.018613 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 2017037322 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2018033937 Missouri

Profile Details

NPI number 1194281584
LBN Legal business name Bradford, Charles
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2019
Last updated Mar 12th, 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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