Bradley, Stanley
Bradley, Stanley is an individual health care provider with primary practice located at 325 E Longview Street , Fayetteville AR 72703-4618. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Bradley, Stanley can be contacted via phone (479) 463-7385.Contact Information
Primary practice address
325 E Longview Street
Fayetteville AR 72703-4618
Phone: (479) 463-7385
Fax: (479) 444-7120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | C-5957 | Arkansas |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207QH0002X | C-5957 | Arkansas |
Profile Details
| NPI number | 1073579322 |
|---|---|
| LBN Legal business name | Bradley, Stanley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | May 3rd, 2016 - about 10 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 | 1073579322 | NPPES |
| Arkansas | MEDICAID | 103929001 |
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