Bradford, Geoffrey

Bradford, Geoffrey is an individual health care provider with primary practice located at 1 Stadium Drive , Morgantown WV 26506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Bradford, Geoffrey can be contacted via phone (304) 598-4820.

Contact Information

Primary practice address
1 Stadium Drive Morgantown WV 26506
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 19533 West Virginia

Profile Details

NPI number 1245206838
LBN Legal business name Bradford, Geoffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Apr 8th, 2022 - about 3 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 1245206838 NPPES
West Virginia MEDICAID 0096458000

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