Bradley S Sloan in Jefferson City - Sports Medicine
Bradley S Sloan - NPI 1780789032
Bradley S Sloan is a Sports Medicine in Jefferson City, Missouri. Bradley S Sloan practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Bradley S Sloan is 1780789032. The last update date is 2016-04-29.
Bradley S Sloan's current location address is 1225 W Stadium Blvd, Jefferson City, Missouri. You can contact this provider via phone number 5736358000 and fax number 5735561710. The mailing address for Bradley S Sloan is 1225 W Stadium Blvd, Jefferson City, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley S Sloan |
|---|---|
| Address | 1225 W Stadium Blvd, Jefferson City, Missouri |
| Phone Number | 5736358000 |
| Fax Number | 5735561710 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1780789032 |
|---|---|
| Provider Enumeration Date | 2006-09-13 |
| Last Updated Date | 2016-04-29 |
Provider Mailing Address Detail
| Address | 1225 W Stadium Blvd |
|---|---|
| City | Jefferson City |
| State | Missouri (MO) |
| Post Code | 651096003 |
| Phone Number | 5736358000 |
| Fax Number | 5735561710 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | MO108684 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 249990573 | MO | -- | |
| 1780789032 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Bradley S Sloan by the Centers for Medicare & Medicaid Services?
The Bradley S Sloan has been issued the NPI (National Provider Identifier) 1780789032, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Bradley S Sloan?
The Bradley S Sloan is physically situated at 1225 W Stadium Blvd, in the city of Jefferson City, state of MO, with the postal code 651096003.
What is Bradley S Sloan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bradley S Sloan's area of specialization is Sports Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Qs0010X.
On what date did the Centers for Medicare & Medicaid Services assign the 1780789032 to Bradley S Sloan?
The Centers for Medicare & Medicaid Services assigned the 1780789032 to Bradley S Sloan on 2006-09-13.
When was the information regarding Bradley S Sloan most recently updated?
The details pertaining to the Bradley S Sloan, including its address, specialty, and other relevant information, were last refreshed on 2016-04-29.