Bradford, Thomas Hal

Bradford, Thomas Hal is an sole proprietor health care provider with primary practice located at 3000 N. Market Ave. Suite E, Fayetteville AR 72703-3507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Bradford, Thomas Hal can be contacted via phone (479) 444-1440.

Contact Information

Primary practice address
3000 N. Market Ave. Suite E Fayetteville AR 72703-3507
Phone: (479) 444-1440
Fax: (479) 444-1447
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X C7898 Arkansas

Profile Details

NPI number 1174579833
LBN Legal business name Bradford, Thomas Hal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2006
Last updated Mar 16th, 2012 - about 13 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 1174579833 NPPES
Arkansas MEDICAID 124896001
Arkansas Other 5J353

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