Shayne D Bradford in Owings Mills - Surgical

Shayne D Bradford - NPI 1841251386

Shayne D Bradford is a Surgical in Owings Mills, Maryland. Shayne D Bradford practices all healthcare services and medical treatments related to Surgical. The NPI Number for Shayne D Bradford is 1841251386. The last update date is 2014-05-06.

Shayne D Bradford's current location address is 25 Crossroads Dr, Owings Mills, Maryland. You can contact this provider via phone number 4437382872. The mailing address for Shayne D Bradford is 25 Crossroads Dr, Owings Mills, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Shayne D Bradford
Address 25 Crossroads Dr, Owings Mills, Maryland
Phone Number 4437382872
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1841251386
Provider Enumeration Date 2006-03-31
Last Updated Date 2014-05-06

Provider Mailing Address Detail

Address 25 Crossroads Dr
City Owings Mills
State Maryland (MD)
Post Code 211175421
Phone Number 4437382872
Fax Number

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No C0001923
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
CN6601 MD R/R MEDICARE GROUP #
970005969 MD R/R MEDICARE PROVIDER #

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FAQs about Shayne D Bradford

What is the Shayne D Bradford's unique identification number?

The Shayne D Bradford has been assigned the NPI (National Provider Identifier) Number 1841251386 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Shayne D Bradford?

The Shayne D Bradford is physically situated at 25 Crossroads Dr, in the city of Owings Mills, state of MD, with the postal code 211175421.

What is the area of specialization for Shayne D Bradford, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Shayne D Bradford is Surgical, and the corresponding taxonomy code that categorizes this area of expertise is 363As0400X.

On what date did Shayne D Bradford receive its 1841251386 assignment from the Centers for Medicare & Medicaid Services?

The Shayne D Bradford was assigned its 1841251386 on 2006-03-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Shayne D Bradford, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Shayne D Bradford, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-05-06.

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