Bradley, Barbara J

Bradley, Barbara J is an individual health care provider with primary practice located at 330 Barclay Ave Ne Suite 304, Grand Rapids MI 49503-2556. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Bradley, Barbara J can be contacted via phone (616) 391-2160.

Contact Information

Primary practice address
330 Barclay Ave Ne Suite 304 Grand Rapids MI 49503-2556
Phone: (616) 391-2160
Fax: (616) 391-2683
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301059077 Michigan

Profile Details

NPI number 1912960493
LBN Legal business name Bradley, Barbara J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Feb 25th, 2021 - about 3 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 1912960493 NPPES
Michigan Other 1604103881 BCBS
Michigan MEDICAID 2841436 BCBS
Michigan Other 1558407189 BCBS

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