MR. MARK BRADFORD P.A. NPI 1831137611

NPI Information

  • NPI: 1831137611
  • Provider Name: MR. MARK BRADFORD, P.A.
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1 TEXAS STATION CT
    TIMONIUM, MD
    ZIP 21093
  • Phone: (410) 683-2120

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NPI Details

MR. Mark Bradford, P.A. is a medical physician assistant in Timonium, MD. MR. Mark Bradford, P.A. NPI is 1831137611. 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:

1 TEXAS STATION CT
TIMONIUM, MD
ZIP 21093-286
Phone: (410) 683-2120
Fax: (410) 683-2130

The NPI 1831137611 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/3/2006 and was last updated on 2/17/2015.

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
1363A00000XPhysician AssistantC0003213MARYLANDNo
2363AS0400XPhysician AssistantSurgicalCOOO3213MARYLANDNo
3363AM0700XPhysician AssistantMedicalC0003213MARYLANDYes

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
1665LOTHERMARYLANDMEDICARE GROUP UMOA
21831137611OTHERMARYLANDNPI
3R36529MEDICARE UPINMARYLAND
4N934MEDICARE PINMARYLAND

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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