DR. BENJAMIN DANIEL BRADFORD M.D. NPI 1629336128

NPI Information

NPI: 1629336128
Provider Name: DR. BENJAMIN DANIEL BRADFORD, M.D.
Classification: Otolaryngology - 207YS0123X
Entity Type: Individual

Specialization: Facial Plastic Surgery

Organization: FACULTY PHYSICIANS AND SURGEONS OF LLUSM

PECOS Registration: Yes

Address:
1895 ORANGE TREE LN STE 102
REDLANDS, CA
ZIP 92374
Phone: (909) 558-2824
Get Directions

DR. Benjamin Daniel Bradford, M.D. is a facial plastic surgery otolaryngology in Redlands, CA with 12 years of experience. The provider is an otolaryngologist who specializes in facial plastic surgery. DR. Benjamin Daniel Bradford, M.D. NPI is 1629336128. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2012

The provider's business location address is:

1895 ORANGE TREE LN STE 102
REDLANDS, CA
ZIP 92374
Phone: (909) 558-2824

The NPI 1629336128 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/3/2012 and was last updated on 6/10/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207YS0123X	Otolaryngology	Facial Plastic Surgery	A126409	CALIFORNIA	Yes
2	207YS0123X	Otolaryngology	Facial Plastic Surgery	286986	NEW YORK	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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