Bradley P Grant in West Melbourne - Procedural Dermatology
Bradley P Grant - NPI 1528066073
Bradley P Grant is a Procedural Dermatology in West Melbourne, Florida. Bradley P Grant practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Bradley P Grant is 1528066073. The last update date is 2008-06-06.
Bradley P Grant's current location address is 1480 S Wickham Rd, West Melbourne, Florida. You can contact this provider via phone number 3217242188 and fax number 3217242833. The mailing address for Bradley P Grant is 1480 S Wickham Rd, West Melbourne, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley P Grant |
|---|---|
| Address | 1480 S Wickham Rd, West Melbourne, Florida |
| Phone Number | 3217242188 |
| Fax Number | 3217242833 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1528066073 |
|---|---|
| Provider Enumeration Date | 2005-07-08 |
| Last Updated Date | 2008-06-06 |
Provider Mailing Address Detail
| Address | 1480 S Wickham Rd |
|---|---|
| City | West Melbourne |
| State | Florida (FL) |
| Post Code | 329042447 |
| Phone Number | 3217242188 |
| Fax Number | 3217242833 |
Provider's Primary Taxonomy Detail
| Speciality | Procedural Dermatology |
|---|---|
| Taxonomy | 207Ns0135X |
| Licence No | ME80040 |
|
Definition: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51915 | FL | BLUE SHIELD | |
| 261442100 | FL | -- | |
| 2120225050101 | FL | BEECH STREET | |
| CIGNA | FL | 560163 |
Post Comment/ Review Below
What is the unique provider identifier assigned to Bradley P Grant?
The Bradley P Grant has been issued the NPI (National Provider Identifier) 1528066073 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Bradley P Grant's facilities are geographically located?
The facilities of Bradley P Grant are physically situated at the following location: 1480 S Wickham Rd, West Melbourne, FL, 329042447.
What is Bradley P Grant's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bradley P Grant's area of specialization is Procedural Dermatology, and the corresponding taxonomy code that categorizes this field of practice is 207Ns0135X.
On what date did the Centers for Medicare & Medicaid Services assign the 1528066073 to Bradley P Grant?
The Centers for Medicare & Medicaid Services assigned the 1528066073 to Bradley P Grant on 2005-07-08.
As of what date was the information pertaining to Bradley P Grant, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Bradley P Grant, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-06-06.
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