BRADLEY SPANGHER NPI 1205918661

NPI Information

  • NPI: 1205918661
  • Provider Name: BRADLEY SPANGHER
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • Address: 75 N COUNTRY RD
    PORT JEFFERSON, NY
    ZIP 11777
  • Phone: (631) 473-1320

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NPI Details

Bradley Spangher is an emergency medicine in Port Jefferson, NY. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Bradley Spangher NPI is 1205918661. 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:

75 N COUNTRY RD
PORT JEFFERSON, NY
ZIP 11777-119
Phone: (631) 473-1320
Fax: (631) 584-5261

The enumeration date for this NPI number is 10/19/2006 and was last updated on 10/22/2015.

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
1207P00000XEmergency Medicine151625NEW YORKYes

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
111F501MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
2E96448MEDICARE UPINNEW YORK

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

NPI Synchronization or Removal

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