Bradley, Stanley

Bradley, Stanley is an individual health care provider with primary practice located at 325 E Longview Street , Fayetteville AR 72703-4618. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Bradley, Stanley can be contacted via phone (479) 463-7385.

Contact Information

Primary practice address
325 E Longview Street Fayetteville AR 72703-4618
Phone: (479) 463-7385
Fax: (479) 444-7120
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C-5957 Arkansas
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X C-5957 Arkansas

Profile Details

NPI number 1073579322
LBN Legal business name Bradley, Stanley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated May 3rd, 2016 - about 8 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 1073579322 NPPES
Arkansas MEDICAID 103929001

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