Riley, Bradley D

Riley, Bradley D is an individual health care provider with primary practice located at 100 Michigan St Ne , Grand Rapids MI 49503-2560. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Medical Toxicology. Allopathic & Osteopathic Physicians / Medical Toxicology is his primary health care specialty. Riley, Bradley D can be contacted via phone (616) 391-1680.

Contact Information

Primary practice address
100 Michigan St Ne Grand Rapids MI 49503-2560
Phone: (616) 391-1680
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4301078635 Michigan
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4301078635 Michigan
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 4301078635 Michigan
Allopathic & Osteopathic Physicians / Medical Toxicology 207PT0002X 4301078635 Michigan

Profile Details

NPI number 1912988023
LBN Legal business name Riley, Bradley D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Oct 3rd, 2023 - about last year

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 1912988023 NPPES
Michigan MEDICAID 1912988023
Michigan Other P00347385

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