Reagan H Bradford in Oklahoma City - Retina Specialist
Reagan H Bradford - NPI 1750340717
Reagan H Bradford is a Retina Specialist in Oklahoma City, Oklahoma. Reagan H Bradford practices all healthcare services and medical treatments related to Retina Specialist. The NPI Number for Reagan H Bradford is 1750340717. The last update date is 2020-08-04.
Reagan H Bradford's current location address is 608 Stanton L Young Blvd, Oklahoma City, Oklahoma. You can contact this provider via phone number 4052711092 and fax number 4052717821. The mailing address for Reagan H Bradford is 608 Stanton L Young Blvd, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Reagan H Bradford |
|---|---|
| Address | 608 Stanton L Young Blvd, Oklahoma City, Oklahoma |
| Phone Number | 4052711092 |
| Fax Number | 4052717821 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1750340717 |
|---|---|
| Provider Enumeration Date | 2006-03-20 |
| Last Updated Date | 2020-08-04 |
Provider Mailing Address Detail
| Address | 608 Stanton L Young Blvd |
|---|---|
| City | Oklahoma City |
| State | Oklahoma (OK) |
| Post Code | 731045014 |
| Phone Number | 4052711092 |
| Fax Number | 4052717821 |
Provider's Primary Taxonomy Detail
| Speciality | Retina Specialist |
|---|---|
| Taxonomy | 207Wx0107X |
| Licence No | 13090 |
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Definition: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100095840C | OK | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Reagan H Bradford by the Centers for Medicare & Medicaid Services (CMS)?
The Reagan H Bradford has been assigned the NPI (National Provider Identifier) 1750340717. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Reagan H Bradford's facilities are situated?
The facilities of Reagan H Bradford are physically located at the following address: 608 Stanton L Young Blvd, Oklahoma City, OK, 731045014.
What is Reagan H Bradford's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Reagan H Bradford's specialized field of practice is Retina Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 207Wx0107X.
On what date did the Reagan H Bradford receive the assignment of its 1750340717 from the Centers for Medicare & Medicaid Services?
The Reagan H Bradford was issued its 1750340717 by the Centers for Medicare & Medicaid Services on 2006-03-20.
When was the information related to Reagan H Bradford most recently updated or refreshed?
The details pertaining to the Reagan H Bradford, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-04.