Bradley, Bruce A

Bradley, Bruce A is an individual health care provider with primary practice located at 118 Nature Park Rd Suite 300, Greensburg PA 15601-6960. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Bradley, Bruce A can be contacted via phone (724) 836-5540.

Contact Information

Primary practice address
118 Nature Park Rd Suite 300 Greensburg PA 15601-6960
Phone: (724) 836-5540
Fax: (724) 836-5548
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X OS006954L Pennsylvania

Profile Details

NPI number 1861477143
LBN Legal business name Bradley, Bruce A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Dec 1st, 2020 - about 5 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 1861477143 NPPES
Pennsylvania MEDICAID 001461835
Pennsylvania Other 10923530

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