Gordon, Bradley D

Gordon, Bradley D is an individual health care provider with primary practice located at 640 Jackson St Mc11102F, Saint Paul MN 55101-2502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Gordon, Bradley D can be contacted via phone (651) 254-3456.

Contact Information

Primary practice address
640 Jackson St Mc11102F Saint Paul MN 55101-2502
Phone: (651) 254-3456
Fax: (651) 254-5216
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 43658 Minnesota
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 44707 Wisconsin

Profile Details

NPI number 1477528024
LBN Legal business name Gordon, Bradley D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Jul 8th, 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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