Elizabeth A Bradley in Penn Valley - Family Medicine
Elizabeth A Bradley - NPI 1023013513
Elizabeth A Bradley is a Family Medicine in Penn Valley, Pennsylvania. Elizabeth A Bradley practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Elizabeth A Bradley is 1023013513. The last update date is 2014-06-08.
Elizabeth A Bradley's current location address is 857 Montgomery Ave, Penn Valley, Pennsylvania. You can contact this provider via phone number 6106642951 and fax number 6106642131. The mailing address for Elizabeth A Bradley is 857 Montgomery Ave, Penn Valley, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elizabeth A Bradley |
|---|---|
| Address | 857 Montgomery Ave, Penn Valley, Pennsylvania |
| Phone Number | 6106642951 |
| Fax Number | 6106642131 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1023013513 |
|---|---|
| Provider Enumeration Date | 2005-06-20 |
| Last Updated Date | 2014-06-08 |
Provider Mailing Address Detail
| Address | 857 Montgomery Ave |
|---|---|
| City | Penn Valley |
| State | Pennsylvania (PA) |
| Post Code | 1907215410 |
| Phone Number | 6106642951 |
| Fax Number | 6106642131 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD063085L |
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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 |
|---|---|---|---|
| 1862091 | NY | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Elizabeth A Bradley?
The Elizabeth A Bradley has been issued the NPI (National Provider Identifier) 1023013513 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 physical address where Elizabeth A Bradley is located?
The Elizabeth A Bradley is situated at the following address: 857 Montgomery Ave, Penn Valley, PA, 1907215410.
What is the Elizabeth A Bradley's specialty and taxonomy code?
The Elizabeth A Bradley's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1023013513 to Elizabeth A Bradley?
The Centers for Medicare & Medicaid Services assigned the 1023013513 to Elizabeth A Bradley on 2005-06-20.
As of what date were the details pertaining to Elizabeth A Bradley last refreshed?
The information related to the Elizabeth A Bradley, including its address, specialty, and other relevant details, was last updated on 2014-06-08.