Bradley, Derek David

Bradley, Derek David is an sole proprietor health care provider with primary practice located at 5955 Zeamer Ave , Jber AK 99506-3702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Bradley, Derek David can be contacted via phone (907) 580-7246.

Contact Information

Primary practice address
5955 Zeamer Ave Jber AK 99506-3702
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 28755 Nebraska

Profile Details

NPI number 1306263728
LBN Legal business name Bradley, Derek David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2014
Last updated Aug 17th, 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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