Bradburn, Eric W.

Bradburn, Eric W. is an individual health care provider with primary practice located at 475 Shoppers Dr , Winchester KY 40391-1380. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Bradburn, Eric W. can be contacted via phone (859) 744-5111.

Contact Information

Primary practice address
475 Shoppers Dr Winchester KY 40391-1380
Phone: (859) 744-5111
Fax: (859) 744-1177
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35962 Kentucky
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35962 Kentucky

Profile Details

NPI number 1972559714
LBN Legal business name Bradburn, Eric W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated May 7th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972559714 NPPES
Kentucky Other 6400 MEDICARE GROUP NUMBER
Kentucky MEDICAID 64068257 MEDICARE GROUP NUMBER

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