Riley, Bradley J

Riley, Bradley J is an individual health care provider with primary practice located at 1200 Pleasant St Neonatology, Des Moines IA 50309-1406. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Riley, Bradley J can be contacted via phone (515) 241-5926.

Contact Information

Primary practice address
1200 Pleasant St Neonatology Des Moines IA 50309-1406
Phone: (515) 241-5926
Fax: (515) 241-5127
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 30712 Iowa

Profile Details

NPI number 1043298565
LBN Legal business name Riley, Bradley J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Apr 22nd, 2008 - about 16 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 1043298565 NPPES
Iowa MEDICAID 0128736

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