Michelle Renae Bradley in Fargo - Family Medicine
Michelle Renae Bradley - NPI 1003015314
Michelle Renae Bradley is a Family Medicine in Fargo, North Dakota. Michelle Renae Bradley practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Michelle Renae Bradley is 1003015314. The last update date is 2022-07-21.
Michelle Renae Bradley's current location address is 1702 South University Drive, Fargo, North Dakota. You can contact this provider via phone number 7013643100 and fax number 3202020756. The mailing address for Michelle Renae Bradley is 1702 South University Drive, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michelle Renae Bradley |
|---|---|
| Address | 1702 South University Drive, Fargo, North Dakota |
| Phone Number | 7013643100 |
| Fax Number | 3202020756 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1003015314 |
|---|---|
| Provider Enumeration Date | 2007-07-16 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 1702 South University Drive |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 581034940 |
| Phone Number | 7013643100 |
| Fax Number | 3202020756 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 52168 |
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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 |
|---|---|---|---|
| 36940100 | MN | -- |
Post Comment/ Review Below
What is the Michelle Renae Bradley's 1003015314?
The Michelle Renae Bradley's NPI (National Provider Identifier) Number is 1003015314. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Michelle Renae Bradley's facilities are geographically located?
The facilities of Michelle Renae Bradley are physically situated at the following location: 1702 South University Drive, Fargo, ND, 581034940.
What is the Michelle Renae Bradley's specialty and taxonomy code?
The Michelle Renae Bradley's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
When did the Michelle Renae Bradley receive its 1003015314?
The Michelle Renae Bradley was issued its 1003015314 on 2007-07-16, which is the date when the organization was assigned this unique identifier.
When was the information regarding Michelle Renae Bradley most recently updated?
The details pertaining to the Michelle Renae Bradley, including its address, specialty, and other relevant information, were last refreshed on 2022-07-21.