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JOHN BRADLEY MD PC NPI 1902987019


NPI Information

NPI: 1902987019
Provider Name: JOHN BRADLEY MD PC

Other Name: JOHN C BRADLEY, M.D.

Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
13975 CONNECTICUT AVE
SUITE 204
SILVER SPRING, MD
ZIP 20906
Phone: (301) 460-8377
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JOHN BRADLEY MD PC is an ophthalmology in Silver Spring, MD. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. JOHN BRADLEY MD PC NPI is 1902987019. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is John C Bradley, M.d..

The provider's business location address is:

13975 CONNECTICUT AVE
SUITE 204
SILVER SPRING, MD
ZIP 20906
Phone: (301) 460-8377
Fax: (301) 460-3794

The provider's authorized official is John C Bradley .
The authorized official title is Owner and has the following contact phone number (301) 460-8377.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 12/12/2009.


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
1207W00000XOphthalmologyMD5818DISTRICT OF COLUMBIANo
2207W00000XOphthalmologyD0014024MARYLANDYes

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
1C62163MEDICARE UPINMARYLAND
2G02508MEDICARE PINMARYLAND

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

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