DEBORAH BRADLEY NPI 1063439545

NPI Information

  • NPI: 1063439545
  • Provider Name: DEBORAH BRADLEY
  • Classification: Obstetrics & Gynecology - 207VG0400X
  • Specialization: Gynecology
  • Entity Type: Individual
  • Address: 83 HERRICK ST
    SUITE 2004
    BEVERLY, MA
    ZIP 01915
  • Phone: (978) 927-4800

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NPI Details

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
1207VG0400XObstetrics & GynecologyGynecology74787MASSACHUSETTSYes

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 Other Provider Identifier Issuer
13083501MEDICAIDMASSACHUSETTS
2D03261MEDICARE UPIN
3J11683MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
4DX5170MEDICARE 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: 11/21/2025

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