Provider Type Icon

EARL B BRADLEY MD NPI 1669414553


NPI Information

NPI: 1669414553
Provider Name: EARL B BRADLEY, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
1503 HIGHWAY ONE
LEWES, DE
ZIP 19958
Phone: (302) 645-0222
Get Directions

Earl B Bradley, MD is a pediatrics in Lewes, DE. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Earl B Bradley, MD NPI is 1669414553. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1503 HIGHWAY ONE
LEWES, DE
ZIP 19958-641
Phone: (302) 645-0222
Fax: (302) 645-0899

The enumeration date for this NPI number is 6/12/2006 and was last updated on 7/9/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsC1-1004285DELAWAREYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E96011MEDICARE UPINDELAWARE
20001097002OTHERDELAWAREDELAWARE PHYSICIANS CARE
3883092OTHERDELAWAREMAMSI
40001097002MEDICAIDDELAWARE
5E96011OTHERDELAWAREBCBS DE
60895293000OTHERDELAWAREAMERIHEALTH

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.