Bradley P Grant Md Pa in W Melbourne - Specialist

Bradley P Grant Md Pa - NPI 1083894125

Bradley P Grant Md Pa is a Specialist in W Melbourne, Florida. Bradley P Grant Md Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Bradley P Grant Md Pa is 1083894125. The last update date is 2008-06-26.

Bradley P Grant Md Pa's current location address is 1480 S Wickham Rd, W Melbourne, Florida. You can contact this provider via phone number 3217242188 and fax number 3217242833. The mailing address for Bradley P Grant Md Pa is 1480 S Wickham Rd, W Melbourne, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Bradley P Grant Md Pa
Address 1480 S Wickham Rd, W Melbourne, Florida
Phone Number 3217242188
Fax Number 3217242833
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Grant P Bradley
Credentials MD
Telephone Number 3217242188

NPI Number Detail

NPI Number 1083894125
Provider Enumeration Date 2007-11-06
Last Updated Date 2008-06-26

Provider Mailing Address Detail

Address 1480 S Wickham Rd
City W Melbourne
State Florida (FL)
Post Code 329042447
Phone Number 3217242188
Fax Number 3217242833

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Bradley P Grant Md Pa

What is the unique 10-digit identifier code issued to Bradley P Grant Md Pa by the Centers for Medicare & Medicaid Services?

The Bradley P Grant Md Pa has been assigned the NPI (National Provider Identifier) 1083894125 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Bradley P Grant Md Pa is physically located?

The Bradley P Grant Md Pa is physically situated at the following address: 1480 S Wickham Rd, W Melbourne, FL, 329042447.

What is Bradley P Grant Md Pa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Bradley P Grant Md Pa is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1083894125 to Bradley P Grant Md Pa?

The Bradley P Grant Md Pa received its 1083894125 assignment from the Centers for Medicare & Medicaid Services on 2007-11-06.

As of what date were the details related to Bradley P Grant Md Pa most recently updated or revised?

The information pertaining to Bradley P Grant Md Pa, including its address, specialty, and other relevant details, was last updated or revised on 2008-06-26.

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