Thomas, Bradley Macgregor

Thomas, Bradley Macgregor is an individual health care provider with primary practice located at 400 S Sepulveda Blvd Suite 200, Manhattan Beach CA 90266-6814. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Thomas, Bradley Macgregor can be contacted via phone (310) 546-3461.

Contact Information

Primary practice address
400 S Sepulveda Blvd Suite 200 Manhattan Beach CA 90266-6814
Phone: (310) 546-3461
Fax: (310) 546-6481
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X A72166 California

Profile Details

NPI number 1093822363
LBN Legal business name Thomas, Bradley Macgregor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Aug 29th, 2016 - about 9 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 1093822363 NPPES
California Other ZZZ02606Z BLUE SHIELD ZZ NUMBER

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