Noon, Bradley Roy

Noon, Bradley Roy is an individual health care provider with primary practice located at 1225 E Latham Ave Ste A, Hemet CA 92543-4423. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Noon, Bradley Roy can be contacted via phone (951) 652-8700.

Contact Information

Primary practice address
1225 E Latham Ave Ste A Hemet CA 92543-4423
Phone: (951) 652-8700
Fax: (951) 766-9944
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X H62948 Georgia

Profile Details

NPI number 1740209014
LBN Legal business name Noon, Bradley Roy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jul 8th, 2011 - about 14 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 1740209014 NPPES
Georgia Other 017732 BLUE CROSS BLUE SHIELD
Georgia MEDICAID 000962794A BLUE CROSS BLUE SHIELD

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