Nicholas Bradlee Dpm

LBN: Nicholas Bradlee Dpm
Nicholas Bradlee Dpm is an health care organization with primary practice located at 28565 Ryan Road , Warren MI 48092. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Nicholas Bradlee Dpm can be contacted via phone (586) 751-3533, or through Bradlee, Nicholas via phone (586) 751-3533.

Contact Information

Primary practice address
28565 Ryan Road Warren MI 48092
Phone: (586) 751-3533
Fax: (586) 751-1817
Website:
Map and Directions
Authorized official contact:
Name: Bradlee, Nicholas Doctor of Podiatric Medicine (DPM)
Phone: (586) 751-3533

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X NB000558 Michigan

Profile Details

NPI number 1972689586
LBN Legal business name Nicholas Bradlee Dpm
DBA Doing business as
Authorized official Bradlee, Nicholas Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972689586 NPPES
Michigan Other 8505050 BLUE CROSS BLUE SHIELD
Michigan Other 5635277 BLUE CROSS BLUE SHIELD

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