Ford, Keith Bradley

Ford, Keith Bradley is an individual health care provider with primary practice located at 2410 Samaritan Dr Suite 101, San Jose CA 95124-3909. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Ford, Keith Bradley can be contacted via phone (408) 371-0390.

Contact Information

Primary practice address
2410 Samaritan Dr Suite 101 San Jose CA 95124-3909
Phone: (408) 371-0390
Fax: (408) 371-0462
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X G42474 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G42474 California

Profile Details

NPI number 1558370072
LBN Legal business name Ford, Keith Bradley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Mar 27th, 2012 - about 12 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 1558370072 NPPES
California MEDICAID 00G424740

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