Bradley, Gary
Bradley, Gary is an individual health care provider with primary practice located at 2854 Se Federal Hwy , Stuart FL 34994. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Bradley, Gary can be contacted via phone (772) 223-0953.Contact Information
Primary practice address
2854 Se Federal Hwy
Stuart FL 34994
Phone: (772) 223-0953
Fax: (772) 223-0987
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | OS12651 | Florida |
Profile Details
| NPI number | 1457631350 |
|---|---|
| LBN Legal business name | Bradley, Gary |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2011 |
| Last updated | Mar 22nd, 2024 - about 2 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 | 1457631350 | NPPES |
| Florida | MEDICAID | 015514500 |
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