Tran, Bradley M

Tran, Bradley M is an individual health care provider with primary practice located at 4085 University Blvd S Suite 3, Jacksonville FL 32216-4357. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Other Service Providers / Specialist is his primary health care specialty. Tran, Bradley M can be contacted via phone (904) 448-4180.

Contact Information

Primary practice address
4085 University Blvd S Suite 3 Jacksonville FL 32216-4357
Fax: (904) 448-4184
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A60531 California
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD2014-0144 New Mexico
Other Service Providers / Specialist 174400000X ME122131 Florida

Profile Details

NPI number 1366445991
LBN Legal business name Tran, Bradley M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Jan 14th, 2015 - 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 1366445991 NPPES
California Other P00085800 MEDICARE RAILROAD

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