Bradley, Barrett Blake
Bradley, Barrett Blake is an individual health care provider with primary practice located at 1780 Nicholasville Rd Ste 403, Lexington KY 40503-1400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Bradley, Barrett Blake can be contacted via phone (859) 260-2580.Contact Information
Primary practice address
1780 Nicholasville Rd Ste 403
Lexington KY 40503-1400
Phone: (859) 260-2580
Fax: (859) 260-2585
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 23312 | Kentucky |
Profile Details
| NPI number | 1821088170 |
|---|---|
| LBN Legal business name | Bradley, Barrett Blake |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Dec 8th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821088170 | NPPES |
| Kentucky | MEDICAID | 64233125 |
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