Bradley, James Glenn

Bradley, James Glenn is an sole proprietor health care provider with primary practice located at 5370 Hollister Ave Suite B, Santa Barbara CA 93111-2303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Bradley, James Glenn can be contacted via phone (805) 696-9600.

Contact Information

Primary practice address
5370 Hollister Ave Suite B Santa Barbara CA 93111-2303
Phone: (805) 696-9600
Fax: (805) 696-9000
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A22756 California

Profile Details

NPI number 1912990219
LBN Legal business name Bradley, James Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2005
Last updated Feb 14th, 2008 - about 18 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 1912990219 NPPES
California MEDICAID 00A227560

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