Hart, Bradley

Hart, Bradley is an individual health care provider with primary practice located at 65 Pennsylvania Ave , Binghamton NY 13903-1651. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Hart, Bradley can be contacted via phone (607) 772-8772.

Contact Information

Primary practice address
65 Pennsylvania Ave Binghamton NY 13903-1651
Phone: (607) 772-8772
Fax: (607) 772-8796
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 006571 New York

Profile Details

NPI number 1659698991
LBN Legal business name Hart, Bradley
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2010
Last updated Nov 11th, 2014 - about 10 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 1659698991 NPPES
New York MEDICAID 03686931

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