Noble, Bradford R

Noble, Bradford R is an individual health care provider with primary practice located at 811 N Keene St , Columbia MO 65201-6634. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Noble, Bradford R can be contacted via phone (573) 777-4878.

Contact Information

Primary practice address
811 N Keene St Columbia MO 65201-6634
Phone: (573) 777-4878
Fax: (573) 777-4466
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 2002003122 Missouri
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 2002003122 Missouri

Profile Details

NPI number 1316982333
LBN Legal business name Noble, Bradford R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated May 3rd, 2018 - about 6 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 1316982333 NPPES
Missouri MEDICAID 209238104

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