Bradley, Brian S

Bradley, Brian S is an individual health care provider with primary practice located at 2142 N Cove Blvd , Toledo OH 43606-3895. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Bradley, Brian S can be contacted via phone (419) 291-4225.

Contact Information

Primary practice address
2142 N Cove Blvd Toledo OH 43606-3895
Phone: (419) 291-4225
Fax: (419) 479-6193
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 35-64786 Ohio

Profile Details

NPI number 1083611420
LBN Legal business name Bradley, Brian S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Aug 11th, 2010 - about 14 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 1083611420 NPPES
Ohio Other 10256 PARAMOUNT
Ohio Other 47-00071 PARAMOUNT
Ohio Other 2031651 PARAMOUNT
Ohio MEDICAID 2922614 PARAMOUNT
Ohio Other 000000129749 PARAMOUNT
Ohio MEDICAID 0913499 PARAMOUNT

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