Bradley H. Gleason is a Neurology in Peoria, Illinois. Bradley H. Gleason practices all healthcare services and medical treatments related to Neurology. The NPI Number for Bradley H. Gleason is 1659428464. The last update date is 2016-02-22.
Bradley H. Gleason's current location address is 530 Ne Glen Oak Ave, Peoria, Illinois. You can contact this provider via phone number 3096248750 and fax number 3096248552. The mailing address for Bradley H. Gleason is 530 Ne Glen Oak Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley H. Gleason |
|---|---|
| Address | 530 Ne Glen Oak Ave, Peoria, Illinois |
| Phone Number | 3096248750 |
| Fax Number | 3096248552 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1659428464 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2016-02-22 |
Provider Mailing Address Detail
| Address | 530 Ne Glen Oak Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616370001 |
| Phone Number | 3096248750 |
| Fax Number | 3096248552 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
| Licence No | 036-118441 |
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Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36118441 | IL | -- | |
| 809840 | MEDICARE GROUP # |
Post Comment/ Review Below
What is the unique identifier code issued to Bradley H. Gleason by the Centers for Medicare & Medicaid Services (CMS)?
The Bradley H. Gleason has been assigned the NPI (National Provider Identifier) 1659428464. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Bradley H. Gleason?
The Bradley H. Gleason is physically situated at 530 Ne Glen Oak Ave, in the city of Peoria, state of IL, with the postal code 616370001.
What is the Bradley H. Gleason's area of specialization and corresponding taxonomy classification?
The Bradley H. Gleason's specialty field is Neurology, and it falls under the taxonomy code 2084N0400X, which categorizes healthcare providers based on their specialties.
When did Bradley H. Gleason receive its 1659428464 assignment?
The Bradley H. Gleason was assigned its 1659428464 on 2007-01-04, which is the date when this unique identifier was issued to the organization.
When was the information regarding Bradley H. Gleason most recently updated?
The details pertaining to the Bradley H. Gleason, including its address, specialty, and other relevant information, were last refreshed on 2016-02-22.
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