Grayum, Bradley P

Grayum, Bradley P is an individual health care provider with primary practice located at 1 Medical Center Blvd Acp #533, Chester PA 19013-3902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Grayum, Bradley P can be contacted via phone (610) 874-1184.

Contact Information

Primary practice address
1 Medical Center Blvd Acp #533 Chester PA 19013-3902
Phone: (610) 874-1184
Fax: (610) 874-4258
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD042421E Pennsylvania

Profile Details

NPI number 1831250992
LBN Legal business name Grayum, Bradley P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Apr 25th, 2016 - about 8 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 1831250992 NPPES
Pennsylvania MEDICAID 001137459

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