Dixon, Bradley S

Dixon, Bradley S is an individual health care provider with primary practice located at 555 W Forest Meadows St Ste 18 , Flagstaff AZ 86001-3601. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Dixon, Bradley S can be contacted via phone (602) 230-7373.

Contact Information

Primary practice address
555 W Forest Meadows St Ste 18 Flagstaff AZ 86001-3601
Phone: (602) 230-7373
Fax: (928) 260-9970
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 27723 Iowa
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 27723 Iowa
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 7875 Arizona

Profile Details

NPI number 1053393363
LBN Legal business name Dixon, Bradley S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Mar 31st, 2026 - about 7 months 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 1053393363 NPPES
Iowa Other 00252 WELLMARK BCBS
Iowa MEDICAID 0065268 WELLMARK BCBS

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