Minter, Bradley Evan

Minter, Bradley Evan is an individual health care provider with primary practice located at 75 N Country Rd , Port Jefferson NY 11777-2119. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Minter, Bradley Evan can be contacted via phone (631) 686-7654.

Contact Information

Primary practice address
75 N Country Rd Port Jefferson NY 11777-2119
Phone: (631) 686-7654
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R73909 Arizona
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X MD15438 Rhode Island
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD15438 Rhode Island
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 298678 New York

Profile Details

NPI number 1578901542
LBN Legal business name Minter, Bradley Evan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2013
Last updated Jul 30th, 2021 - about 4 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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