J Douglas Bradley in Pueblo - Family Medicine
J Douglas Bradley - NPI 1932249588
J Douglas Bradley is a Family Medicine in Pueblo, Colorado. J Douglas Bradley practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for J Douglas Bradley is 1932249588. The last update date is 2007-07-08.
J Douglas Bradley's current location address is 4117 N Elizabeth St, Pueblo, Colorado. You can contact this provider via phone number 7195450788 and fax number 7195450787. The mailing address for J Douglas Bradley is 4117 N Elizabeth St, Pueblo, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | J Douglas Bradley |
|---|---|
| Address | 4117 N Elizabeth St, Pueblo, Colorado |
| Phone Number | 7195450788 |
| Fax Number | 7195450787 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1932249588 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4117 N Elizabeth St |
|---|---|
| City | Pueblo |
| State | Colorado (CO) |
| Post Code | 810082009 |
| Phone Number | 7195450788 |
| Fax Number | 7195450787 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 35663 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1356633 | CO | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to J Douglas Bradley?
The J Douglas Bradley has been issued the NPI (National Provider Identifier) 1932249588 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of J Douglas Bradley?
The J Douglas Bradley is situated at 4117 N Elizabeth St, in the city of Pueblo, state of CO, with the zip code 810082009.
What is the area of specialization for J Douglas Bradley, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for J Douglas Bradley is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
When did J Douglas Bradley receive its 1932249588 assignment?
The J Douglas Bradley was assigned its 1932249588 on 2007-02-06, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding J Douglas Bradley, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to J Douglas Bradley, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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