DEBORAH BRADLEY NPI 1063439545

NPI Information

NPI: 1063439545
Provider Name: DEBORAH BRADLEY
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Individual

Specialization: Gynecology

Address:
83 HERRICK ST
SUITE 2004
BEVERLY, MA
ZIP 01915
Phone: (978) 927-4800
Get Directions

Deborah Bradley is a gynecology obstetrics gynecology in Beverly, MA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee Deborah Bradley NPI is 1063439545. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

83 HERRICK ST
SUITE 2004
BEVERLY, MA
ZIP 01915-757
Phone: (978) 927-4800
Fax: (978) 232-5772

The enumeration date for this NPI number is 7/17/2006 and was last updated on 3/27/2012.

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	207VG0400X	Obstetrics & Gynecology	Gynecology	74787	MASSACHUSETTS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	3083501	MEDICAID	MASSACHUSETTS
2	D03261	MEDICARE UPIN
3	J11683	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
4	DX5170	MEDICARE PIN

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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