Bradley, Nina Grace
Bradley, Nina Grace is an individual health care provider with primary practice located at 11215 Metro Pkwy Ste 1 , Fort Myers FL 33966-1206. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Bradley, Nina Grace can be contacted via phone (239) 208-2212.Contact Information
Primary practice address
11215 Metro Pkwy Ste 1
Fort Myers FL 33966-1206
Phone: (239) 208-2212
Fax: (239) 208-3994
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 87299 | Georgia |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 21512 | New Hampshire |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | DO197423 | Oregon |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 2020010467 | Missouri |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | OS020888 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | OS15212 | Florida |
Profile Details
| NPI number | 1750692422 |
|---|---|
| LBN Legal business name | Bradley, Nina Grace |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2010 |
| Last updated | Aug 29th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750692422 | NPPES |
| New York | MEDICAID | 03999406 |
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