Randall L Braddom in The Villages - Physical Medicine & Rehabilitation
Randall L Braddom - NPI 1255302360
Randall L Braddom is a Physical Medicine & Rehabilitation in The Villages, Florida. Randall L Braddom practices all healthcare services and medical treatments related to Physical Medicine & Rehabilitation. The NPI Number for Randall L Braddom is 1255302360. The last update date is 2013-06-03.
Randall L Braddom's current location address is 1093 Golden Grove Dr, The Villages, Florida. You can contact this provider via phone number 9086017036 and fax number 3525614512. The mailing address for Randall L Braddom is 1093 Golden Grove Dr, The Villages, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall L Braddom |
|---|---|
| Address | 1093 Golden Grove Dr, The Villages, Florida |
| Phone Number | 9086017036 |
| Fax Number | 3525614512 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1255302360 |
|---|---|
| Provider Enumeration Date | 2006-01-27 |
| Last Updated Date | 2013-06-03 |
Provider Mailing Address Detail
| Address | 1093 Golden Grove Dr |
|---|---|
| City | The Villages |
| State | Florida (FL) |
| Post Code | 321624023 |
| Phone Number | 9086017036 |
| Fax Number | 3525614512 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Medicine & Rehabilitation |
|---|---|
| Taxonomy | 208100000X |
| Licence No | 25MA02637400 |
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Definition: Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affectin |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9074201 | NJ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Randall L Braddom by the Centers for Medicare & Medicaid Services?
The Randall L Braddom has been assigned the NPI (National Provider Identifier) 1255302360 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Randall L Braddom is physically located?
The Randall L Braddom is physically situated at the following address: 1093 Golden Grove Dr, The Villages, FL, 321624023.
What is Randall L Braddom's specialized field of practice, and what is the corresponding taxonomy classification code?
The Randall L Braddom's area of specialization is Physical Medicine & Rehabilitation, and the corresponding taxonomy code that categorizes this field of practice is 208100000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1255302360 to Randall L Braddom?
The Centers for Medicare & Medicaid Services originally issued the 1255302360 to Randall L Braddom on 2006-01-27.
When was the information regarding Randall L Braddom most recently updated?
The details pertaining to the Randall L Braddom, including its address, specialty, and other relevant information, were last refreshed on 2013-06-03.