Bradley, John Scott

Bradley, John Scott is an individual health care provider with primary practice located at 3020 Childrens Way , San Diego CA 92123-4223. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases is his primary health care specialty. Bradley, John Scott can be contacted via phone (858) 966-7785.

Contact Information

Primary practice address
3020 Childrens Way San Diego CA 92123-4223
Phone: (858) 966-7785
Fax: (858) 966-8658
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G35234 California
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X G35234 California

Profile Details

NPI number 1740351592
LBN Legal business name Bradley, John Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Nov 3rd, 2011 - 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 1740351592 NPPES
California MEDICAID 00G352340

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