Thompson, Bradford B.

Thompson, Bradford B. is an individual health care provider with primary practice located at 593 Eddy St Apc 6, Providence RI 02903-4923. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurocritical Care, Allopathic & Osteopathic Physicians / Vascular Neurology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Thompson, Bradford B. can be contacted via phone (401) 444-4000.

Contact Information

Primary practice address
593 Eddy St Apc 6 Providence RI 02903-4923
Phone: (401) 444-4000
Fax: (401) 444-8366
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurocritical Care 2084A2900X 230609 Massachusetts
Allopathic & Osteopathic Physicians / Vascular Neurology 2084V0102X 12724 Rhode Island
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 12724 Rhode Island

Profile Details

NPI number 1245399609
LBN Legal business name Thompson, Bradford B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Apr 3rd, 2024 - 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 1245399609 NPPES
Massachusetts MEDICAID 110072709A
Massachusetts MEDICAID 3143592

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