Bradley, Tina Naylor

Bradley, Tina Naylor is an individual health care provider with primary practice located at 301 Gordon Gutmann Blvd Ste 101 , Jeffersonville IN 47130-3765. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Bradley, Tina Naylor can be contacted via phone (812) 282-4844.

Contact Information

Primary practice address
301 Gordon Gutmann Blvd Ste 101 Jeffersonville IN 47130-3765
Phone: (812) 282-4844
Fax: (812) 282-6248
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01058849A Indiana
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 01058849A Indiana

Profile Details

NPI number 1144223082
LBN Legal business name Bradley, Tina Naylor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Feb 8th, 2024 - about 10 months 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 1144223082 NPPES
Indiana Other 01058849A STATE LICENSE
Indiana MEDICAID 64087315 STATE LICENSE
Indiana Other 38451 STATE LICENSE
Indiana MEDICAID 200495720 STATE LICENSE

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