Smith, Bradley David

Smith, Bradley David is an individual health care provider with primary practice located at 2528 Sister Mary Columbia Drive , Red Bluff CA 96080-4327. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Smith, Bradley David can be contacted via phone (530) 528-6100.

Contact Information

Primary practice address
2528 Sister Mary Columbia Drive Red Bluff CA 96080-4327
Phone: (530) 528-6100
Fax: (530) 528-6146
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 4723 Alaska
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X G79816 California

Profile Details

NPI number 1235164138
LBN Legal business name Smith, Bradley David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Oct 23rd, 2012 - about 13 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 1235164138 NPPES
Alaska MEDICAID MD6033

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