Dick, Bradley W

Dick, Bradley W is an individual health care provider with primary practice located at 2475 E Broadway St , Helena MT 59601-4928. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Dick, Bradley W can be contacted via phone (406) 457-4180.

Contact Information

Primary practice address
2475 E Broadway St Helena MT 59601-4928
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X D0038425 Maryland

Profile Details

NPI number 1609866540
LBN Legal business name Dick, Bradley W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2005
Last updated Mar 26th, 2018 - about 8 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 1609866540 NPPES
District of Columbia MEDICAID 021292700
District of Columbia MEDICAID 7200455
District of Columbia MEDICAID 543651600

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