Mark Bradford is a Surgical in Timonium, Maryland. Mark Bradford practices all healthcare services and medical treatments related to Surgical. The NPI Number for Mark Bradford is 1831137611. The last update date is 2015-02-17.
Mark Bradford's current location address is 1 Texas Station Ct, Timonium, Maryland. You can contact this provider via phone number 4106832120 and fax number 4106832130. The mailing address for Mark Bradford is 1 Texas Station Ct, Timonium, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Bradford |
|---|---|
| Address | 1 Texas Station Ct, Timonium, Maryland |
| Phone Number | 4106832120 |
| Fax Number | 4106832130 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1831137611 |
|---|---|
| Provider Enumeration Date | 2006-06-03 |
| Last Updated Date | 2015-02-17 |
Provider Mailing Address Detail
| Address | 1 Texas Station Ct |
|---|---|
| City | Timonium |
| State | Maryland (MD) |
| Post Code | 210938286 |
| Phone Number | 4106832120 |
| Fax Number | 4106832130 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | COOO3213 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 665L | MD | MEDICARE GROUP UMOA | |
| 1831137611 | MD | NPI |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mark Bradford by the Centers for Medicare & Medicaid Services?
The Mark Bradford has been issued the NPI (National Provider Identifier) 1831137611 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Mark Bradford's facilities are geographically located?
The facilities of Mark Bradford are physically situated at the following location: 1 Texas Station Ct, Timonium, MD, 210938286.
What is the Mark Bradford's specialty and taxonomy code?
The Mark Bradford's specialty is Surgical, and the corresponding taxonomy code is 363As0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1831137611 to Mark Bradford?
The Centers for Medicare & Medicaid Services assigned the 1831137611 to Mark Bradford on 2006-06-03.
As of what date was the information pertaining to Mark Bradford, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mark Bradford, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-02-17.