Taylor, Bradley Clifford

Taylor, Bradley Clifford is an individual health care provider with primary practice located at 14701 N Santa Fe Ave , Edmond OK 73013-3411. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Taylor, Bradley Clifford can be contacted via phone (405) 752-2733.

Contact Information

Primary practice address
14701 N Santa Fe Ave Edmond OK 73013-3411
Phone: (405) 752-2733
Fax: (405) 752-2172
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 2479 Oklahoma

Profile Details

NPI number 1902809643
LBN Legal business name Taylor, Bradley Clifford
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2005
Last updated May 8th, 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 1902809643 NPPES
Oklahoma Other 2871904 CIGNA
Oklahoma MEDICAID 100153730A CIGNA
Oklahoma Other 899616 CIGNA
Oklahoma Other 458329 CIGNA

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