Bradley, Barrett Blake

Bradley, Barrett Blake is an individual health care provider with primary practice located at 1780 Nicholasville Rd Ste 403, Lexington KY 40503-1400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Bradley, Barrett Blake can be contacted via phone (859) 260-2580.

Contact Information

Primary practice address
1780 Nicholasville Rd Ste 403 Lexington KY 40503-1400
Phone: (859) 260-2580
Fax: (859) 260-2585
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 23312 Kentucky

Profile Details

NPI number 1821088170
LBN Legal business name Bradley, Barrett Blake
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Dec 8th, 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 1821088170 NPPES
Kentucky MEDICAID 64233125

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