Bradley, William Daniel
Bradley, William Daniel is an individual health care provider with primary practice located at 2960 E. St. Lukes St. Ste. 200, Meridian ID 83642-6011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Bradley, William Daniel can be contacted via phone (208) 992-5212.Contact Information
Primary practice address
2960 E. St. Lukes St. Ste. 200
Meridian ID 83642-6011
Phone: (208) 992-5212
Fax: (208) 992-5452
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | L0043 | Texas |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | M-13237 | Idaho |
Profile Details
| NPI number | 1245273382 |
|---|---|
| LBN Legal business name | Bradley, William Daniel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | May 22nd, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245273382 | NPPES |
| Texas | MEDICAID | 0405045-01 |
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