Bradley Jackson Holden in Oakland - Neonatal-perinatal Medicine

Bradley Jackson Holden - NPI 1144230707

Bradley Jackson Holden is a Neonatal-perinatal Medicine in Oakland, California. Bradley Jackson Holden practices all healthcare services and medical treatments related to Neonatal-perinatal Medicine. The NPI Number for Bradley Jackson Holden is 1144230707. The last update date is 2012-03-09.

Bradley Jackson Holden's current location address is 1411 East 31st Street, Oakland, California. You can contact this provider via phone number 5104374323 and fax number 5104375042. The mailing address for Bradley Jackson Holden is 1411 East 31st Street, Oakland, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Bradley Jackson Holden
Address 1411 East 31st Street, Oakland, California
Phone Number 5104374323
Fax Number 5104375042
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1144230707
Provider Enumeration Date 2006-08-08
Last Updated Date 2012-03-09

Provider Mailing Address Detail

Address 1411 East 31st Street
City Oakland
State California (CA)
Post Code 94602
Phone Number 5104374323
Fax Number 5104375042

Provider's Primary Taxonomy Detail

Speciality Neonatal-perinatal Medicine
Taxonomy 2080N0001X
Licence No G62352
Definition:
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00G623520 CA --

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FAQs about Bradley Jackson Holden

What is the unique provider identifier assigned to Bradley Jackson Holden?

The Bradley Jackson Holden has been issued the NPI (National Provider Identifier) 1144230707 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the Bradley Jackson Holden located?

The Bradley Jackson Holden is located at 1411 East 31St Street, Oakland, CA 94602.

What is Bradley Jackson Holden's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Bradley Jackson Holden is Neonatal-perinatal Medicine, and the taxonomy code that classifies this field of practice is 2080N0001X.

On what date was the 1144230707 assigned to Bradley Jackson Holden?

The Bradley Jackson Holden was issued its 1144230707 on 2006-08-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Bradley Jackson Holden's details last updated?

The information pertaining to the Bradley Jackson Holden, including its address, specialty, and other details, was most recently updated on 2012-03-09.

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