Bradley J Clegg in Grand Rapids - Family Medicine

Bradley J Clegg - NPI 1780648139

Bradley J Clegg is a Family Medicine in Grand Rapids, Michigan. Bradley J Clegg practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Bradley J Clegg is 1780648139. The last update date is 2017-12-04.

Bradley J Clegg's current location address is 4300 Cascade Rd Se, Grand Rapids, Michigan. You can contact this provider via phone number 6162521500 and fax number 6162521599. The mailing address for Bradley J Clegg is 4300 Cascade Rd Se, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Bradley J Clegg
Address 4300 Cascade Rd Se, Grand Rapids, Michigan
Phone Number 6162521500
Fax Number 6162521599
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1780648139
Provider Enumeration Date 2006-04-13
Last Updated Date 2017-12-04

Provider Mailing Address Detail

Address 4300 Cascade Rd Se
City Grand Rapids
State Michigan (MI)
Post Code 495468328
Phone Number 6162521500
Fax Number 6162521599

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 5101008860
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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FAQs about Bradley J Clegg

What is the unique provider identifier assigned to Bradley J Clegg?

The Bradley J Clegg has been issued the NPI (National Provider Identifier) 1780648139 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Bradley J Clegg is physically located?

The Bradley J Clegg is situated at the following address: 4300 Cascade Rd Se, Grand Rapids, MI 495468328.

What is Bradley J Clegg's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Bradley J Clegg is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1780648139 to Bradley J Clegg?

The Bradley J Clegg received its 1780648139 assignment from the Centers for Medicare & Medicaid Services on 2006-04-13.

When was the information related to Bradley J Clegg most recently updated or refreshed?

The details pertaining to the Bradley J Clegg, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-12-04.

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