John Additon Bradford in Bangor - Specialist

John Additon Bradford - NPI 1093791964

John Additon Bradford is a Specialist in Bangor, Maine. John Additon Bradford practices all healthcare services and medical treatments related to Specialist. The NPI Number for John Additon Bradford is 1093791964. The last update date is 2014-01-29.

John Additon Bradford's current location address is 925 Union St Ste 3, Bangor, Maine. You can contact this provider via phone number 2079739980 and fax number 2079737515. The mailing address for John Additon Bradford is 925 Union St Ste 3, Bangor, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name John Additon Bradford
Address 925 Union St Ste 3, Bangor, Maine
Phone Number 2079739980
Fax Number 2079737515
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1093791964
Provider Enumeration Date 2005-12-21
Last Updated Date 2014-01-29

Provider Mailing Address Detail

Address 925 Union St Ste 3
City Bangor
State Maine (ME)
Post Code 44013051
Phone Number 2079739980
Fax Number 2079737515

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 11526
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
D03693 ME HARVARD PILGRIM
M57740 ME CIGNA
1044474 ME AETNA
2921 ME BLUES
100289800 ME US DEPT OF LABOR
116170000 ME --
200002275 ME MEDICARE RAILROAD

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FAQs about John Additon Bradford

What is the unique 10-digit identifier code issued to John Additon Bradford by the Centers for Medicare & Medicaid Services?

The John Additon Bradford has been assigned the NPI (National Provider Identifier) 1093791964 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where John Additon Bradford is geographically located?

The John Additon Bradford is physically situated at the following location: 925 Union St Ste 3, Bangor, ME, 44013051.

What is John Additon Bradford's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The John Additon Bradford's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.

When did the John Additon Bradford receive its 1093791964?

The John Additon Bradford was issued its 1093791964 on 2005-12-21, which is the date when the organization was assigned this unique identifier.

When was the information regarding John Additon Bradford most recently updated?

The details pertaining to the John Additon Bradford, including its address, specialty, and other relevant information, were last refreshed on 2014-01-29.

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