Bradford, Reagan H

Bradford, Reagan H is an individual health care provider with primary practice located at 608 Stanton L Young Blvd , Oklahoma City OK 73104-5014. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Bradford, Reagan H can be contacted via phone (405) 271-1092.

Contact Information

Primary practice address
608 Stanton L Young Blvd Oklahoma City OK 73104-5014
Phone: (405) 271-1092
Fax: (405) 271-7821
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 13090 Oklahoma
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 13090 Oklahoma

Profile Details

NPI number 1750340717
LBN Legal business name Bradford, Reagan H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Aug 4th, 2020 - 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 1750340717 NPPES
Oklahoma MEDICAID 100095840C

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