Fine, Bradford Martin

Fine, Bradford Martin is an individual health care provider with primary practice located at 1401 Harrodsburg Rd C115, Lexington KY 40504-3751. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Fine, Bradford Martin can be contacted via phone (859) 278-8855.

Contact Information

Primary practice address
1401 Harrodsburg Rd C115 Lexington KY 40504-3751
Phone: (859) 278-8855
Fax: (859) 278-8856
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 00313 Kentucky
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO3163 Florida
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 00313 Kentucky

Profile Details

NPI number 1659319721
LBN Legal business name Fine, Bradford Martin
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Oct 30th, 2007 - about 17 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 1659319721 NPPES
Kentucky MEDICAID 7100003410
Kentucky Other 80900061
Kentucky Other 6569

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