Stephen Peter Bradley in Lakeport - Addiction Medicine
Stephen Peter Bradley - NPI 1699746446
Stephen Peter Bradley is a Addiction Medicine in Lakeport, California. Stephen Peter Bradley practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Stephen Peter Bradley is 1699746446. The last update date is 2022-09-12.
Stephen Peter Bradley's current location address is 5375 Lakeshore Blvd, Lakeport, California. You can contact this provider via phone number 7072635679 and fax number 7072637781. The mailing address for Stephen Peter Bradley is 5375 Lakeshore Blvd, Lakeport, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Peter Bradley |
|---|---|
| Address | 5375 Lakeshore Blvd, Lakeport, California |
| Phone Number | 7072635679 |
| Fax Number | 7072637781 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1699746446 |
|---|---|
| Provider Enumeration Date | 2006-01-30 |
| Last Updated Date | 2022-09-12 |
Provider Mailing Address Detail
| Address | 5375 Lakeshore Blvd |
|---|---|
| City | Lakeport |
| State | California (CA) |
| Post Code | 954536123 |
| Phone Number | 7072635679 |
| Fax Number | 7072637781 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Qa0401X |
| Licence No | C41489 |
|
Definition: A family medicine physician who specializes in the diagnosis and treatment of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00C414890 | CA | -- |
Post Comment/ Review Below
What is the Stephen Peter Bradley's unique identification number?
The Stephen Peter Bradley has been assigned the NPI (National Provider Identifier) Number 1699746446 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Stephen Peter Bradley?
The Stephen Peter Bradley is physically situated at 5375 Lakeshore Blvd, in the city of Lakeport, state of CA, with the postal code 954536123.
What is the area of specialization for Stephen Peter Bradley, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Stephen Peter Bradley is Addiction Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Qa0401X.
When was the Stephen Peter Bradley's 1699746446 issued?
The Stephen Peter Bradley's 1699746446 was issued on 2006-01-30.
As of what date were the details pertaining to Stephen Peter Bradley last refreshed?
The information related to the Stephen Peter Bradley, including its address, specialty, and other relevant details, was last updated on 2022-09-12.
NPI Number: 1376546309
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