Busacco, Bradley

Busacco, Bradley is an individual health care provider with primary practice located at 7495 State Rd Ste 325, Cincinnati OH 45255-6404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Busacco, Bradley can be contacted via phone (513) 233-2000.

Contact Information

Primary practice address
7495 State Rd Ste 325 Cincinnati OH 45255-6404
Phone: (513) 233-2000
Fax: (513) 624-2684
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35048242B Ohio

Profile Details

NPI number 1205839503
LBN Legal business name Busacco, Bradley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Jul 29th, 2015 - about 9 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 1205839503 NPPES
Ohio Other 287923 AMERIGROUP
Ohio MEDICAID 0511655 AMERIGROUP
Ohio Other 0720620 AMERIGROUP
Ohio Other 1023323 AMERIGROUP
Ohio Other 31157505103 AMERIGROUP
Ohio Other 000000020974 AMERIGROUP

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