Bradley, Elisa A

Bradley, Elisa A is an individual health care provider with primary practice located at 452 W 10Th Ave , Columbus OH 43210-1240. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Bradley, Elisa A can be contacted via phone (614) 293-7677.

Contact Information

Primary practice address
452 W 10Th Ave Columbus OH 43210-1240
Phone: (614) 293-7677
Fax: (614) 293-5614
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35-121132 Ohio
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35.121132 Ohio

Profile Details

NPI number 1154525327
LBN Legal business name Bradley, Elisa A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2007
Last updated Feb 22nd, 2021 - about 5 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 1154525327 NPPES
Ohio MEDICAID 0105922

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