TIMOTHY BRADLEY NPI 1710274956

NPI Information

NPI: 1710274956
Provider Name: TIMOTHY BRADLEY
Classification: Contractor - 171WH0202X
Entity Type: Individual

Specialization: Home Modifications

Address:
14330 E SPRUCE CIRCLE
TALKEETNA, AK
ZIP 99676
Phone: (907) 733-8052
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Timothy Bradley is a home modifications contractor in Talkeetna, AK. Timothy Bradley NPI is 1710274956. 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:

14330 E SPRUCE CIRCLE
TALKEETNA, AK
ZIP 99676-984
Phone: (907) 733-8052
Fax: (907) 733-8054

The enumeration date for this NPI number is 7/8/2011 and was last updated on 7/8/2011.

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	171WH0202X	Contractor	Home Modifications	32683	ALASKA	Yes

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

NPI Synchronization or Removal

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