RICHARD C BRADLEY DPM PC NPI 1275702284

NPI Information

  • NPI: 1275702284
  • Provider Name: RICHARD C BRADLEY, DPM, PC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 188 FRIES MILL RD
    SUITE D-2
    TURNERSVILLE, NJ
    ZIP 08012
  • Phone: (856) 629-7300

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NPI Details

RICHARD C BRADLEY, DPM, PC is a foot and ankle surgery podiatrist in Turnersville, NJ. RICHARD C BRADLEY, DPM, PC NPI is 1275702284. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

188 FRIES MILL RD
SUITE D-2
TURNERSVILLE, NJ
ZIP 08012-015
Phone: (856) 629-7300
Fax: (856) 629-8729

The provider's authorized official is Richard C Bradlety .
The authorized official title is President and has the following contact phone number (856) 629-7300.

The enumeration date for this NPI number is 2/23/2008 and was last updated on 5/15/2013.

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
1213ES0103XPodiatristFoot & Ankle Surgery25MD00213000NEW JERSEYYes

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
1AMERIHEALTHOTHER114550000
2U32298MEDICARE UPIN
3114550000OTHERKEYSTONE
4601173MEDICARE PINPENNSYLVANIA
55172101MEDICAIDNEW JERSEY
6726253MEDICARE PINNEW JERSEY

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: 3/30/2025

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