Dekorte, Bradley

Dekorte, Bradley is an individual health care provider with primary practice located at 555 Black Oak Dr Ste 300B , Medford OR 97504-8491. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Dekorte, Bradley can be contacted via phone (541) 789-8100.

Contact Information

Primary practice address
555 Black Oak Dr Ste 300B Medford OR 97504-8491
Phone: (541) 789-8100
Fax: (541) 789-8101
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OL60476473 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OP60576320 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO181937 Oregon
Allopathic & Osteopathic Physicians / Sleep Medicine 207QS1201X DO181937 Oregon

Profile Details

NPI number 1699185256
LBN Legal business name Dekorte, Bradley
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2014
Last updated May 17th, 2023 - about 2 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 1699185256 NPPES
Washington MEDICAID 2035866

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