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
Phone: (904) 448-4180
Fax: (904) 448-4184
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1366445991 | NPPES |
California | Other | P00085800 | MEDICARE RAILROAD |
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