Bradley, James J

Bradley, James J is an sole proprietor health care provider with primary practice located at 5516 Mountain Garland Dr , Colorado Springs CO 80923. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Bradley, James J can be contacted via phone (830) 776-6495.

Contact Information

Primary practice address
5516 Mountain Garland Dr Colorado Springs CO 80923
Phone: (830) 776-6495
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 38977 Montana

Profile Details

NPI number 1770556441
LBN Legal business name Bradley, James J
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2006
Last updated Jun 15th, 2018 - 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 1770556441 NPPES
Missouri MEDICAID 918517046

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