Bradley, Robert Claud
Bradley, Robert Claud is an individual health care provider with primary practice located at 1455 Main St Suite 100, Windsor CO 80550-5559. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bradley, Robert Claud can be contacted via phone (970) 686-3950.Contact Information
Primary practice address
1455 Main St Suite 100
Windsor CO 80550-5559
Phone: (970) 686-3950
Fax: (970) 686-3960
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 19366 | Colorado |
Profile Details
NPI number | 1508910894 |
---|---|
LBN Legal business name | Bradley, Robert Claud |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 23rd, 2007 |
Last updated | Jan 19th, 2015 - about 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1508910894 | NPPES |
Colorado | MEDICAID | 1193663 | |
Colorado | Other | P00944651 |
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