Bradley, Brian M.

Bradley, Brian M. is an individual health care provider with primary practice located at 401 W Pennsylvania Ave , Anaconda MT 59711. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Bradley, Brian M. can be contacted via phone (406) 563-8528.

Contact Information

Primary practice address
401 W Pennsylvania Ave Anaconda MT 59711
Phone: (406) 563-8528
Fax: (406) 556-3086
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 27323 Montana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN27323 Montana

Profile Details

NPI number 1881610616
LBN Legal business name Bradley, Brian M.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Feb 6th, 2019 - about 6 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 1881610616 NPPES
Montana MEDICAID 1881610616

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