Bradley, Shannon S

Bradley, Shannon S is an sole proprietor health care provider with primary practice located at 3100 N 11Th St Ste 1 , Bismarck ND 58503-1210. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Bradley, Shannon S can be contacted via phone (701) 751-2272.

Contact Information

Primary practice address
3100 N 11Th St Ste 1 Bismarck ND 58503-1210
Phone: (701) 751-2272
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 8469 North Dakota
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 8469 North Dakota

Profile Details

NPI number 1225082647
LBN Legal business name Bradley, Shannon S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2006
Last updated Jul 1st, 2025 - about last year

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 1225082647 NPPES
North Dakota Other 160051292 MEDICARE RAILROAD
North Dakota MEDICAID 11308 MEDICARE RAILROAD

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