NICHOLAS BRADLEE DPM NPI 1972689586

NPI Information

  • NPI: 1972689586
  • Provider Name: NICHOLAS BRADLEE DPM
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Address: 28565 RYAN ROAD
    WARREN, MI
    ZIP 48092
  • Phone: (586) 751-3533

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NPI Details

NICHOLAS BRADLEE DPM is a podiatrist in Warren, MI. 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. NICHOLAS BRADLEE DPM NPI is 1972689586. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

28565 RYAN ROAD
WARREN, MI
ZIP 48092
Phone: (586) 751-3533
Fax: (586) 751-1817

The provider's authorized official is Nicholas Bradlee .
The authorized official title is Owner and has the following contact phone number (586) 751-3533.

The enumeration date for this NPI number is 10/27/2006 and was last updated on 8/22/2020.

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
1213E00000XPodiatristNB000558MICHIGANYes

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
15635277OTHERMICHIGANBLUE CROSS BLUE SHIELD
28505050OTHERMICHIGANBLUE CROSS BLUE SHIELD

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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