Bradley Robertson in Eagle - General Practice
Bradley Robertson - NPI 1568580074
Bradley Robertson is a General Practice in Eagle, Idaho. Bradley Robertson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bradley Robertson is 1568580074. The last update date is 2007-07-08.
Bradley Robertson's current location address is 2957 W Colony Ct, Eagle, Idaho. You can contact this provider via phone number 2089383520. The mailing address for Bradley Robertson is 2957 W Colony Ct, Eagle, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley Robertson |
|---|---|
| Address | 2957 W Colony Ct, Eagle, Idaho |
| Phone Number | 2089383520 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1568580074 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2957 W Colony Ct |
|---|---|
| City | Eagle |
| State | Idaho (ID) |
| Post Code | 836167201 |
| Phone Number | 2089383520 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D3022 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 834079 | ID | UNITED CONCORDIA ID # |
Post Comment/ Review Below
What is the Bradley Robertson's 1568580074?
The Bradley Robertson's NPI (National Provider Identifier) Number is 1568580074. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Bradley Robertson?
The Bradley Robertson is situated at 2957 W Colony Ct, in the city of Eagle, state of ID, with the zip code 836167201.
What is Bradley Robertson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Bradley Robertson is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
When was the Bradley Robertson's 1568580074 issued?
The Bradley Robertson's 1568580074 was issued on 2007-03-26.
When was the information pertaining to Bradley Robertson most recently updated or revised?
The details related to Bradley Robertson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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