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BRADLEY TODD NPI 1710162169


NPI Information

NPI: 1710162169
Provider Name: BRADLEY TODD
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
3367 GALT OCEAN DRIVE
FORT LAUDERDALE, FL
ZIP 33308
Phone: (954) 566-2580
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BRADLEY TODD is a podiatrist in Fort Lauderdale, FL. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. BRADLEY TODD NPI is 1710162169. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3367 GALT OCEAN DRIVE
FORT LAUDERDALE, FL
ZIP 33308-002
Phone: (954) 566-2580
Fax: (954) 566-8929

The provider's authorized official is Bradley P Todd .
The authorized official title is Owner and has the following contact phone number (954) 566-2580.

The enumeration date for this NPI number is 1/4/2008 and was last updated on 12/3/2008.


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
1213E00000XPodiatristPO3045FLORIDAYes

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
14935660001MEDICARE NSC

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: 11/14/2023

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