Fields, Warren Bradley
Fields, Warren Bradley is an sole proprietor health care provider with primary practice located at 30701 Woodward Ave Ste 200 , Royal Oak MI 48073-0990. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Fields, Warren Bradley can be contacted via phone (248) 548-2114.Contact Information
Primary practice address
30701 Woodward Ave Ste 200
Royal Oak MI 48073-0990
Phone: (248) 548-2114
Fax: (248) 548-2135
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 4301076558 | Michigan |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 036121035 | Illinois |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 036121035 | Illinois |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 4301076558 | Michigan |
Profile Details
| NPI number | 1225158694 |
|---|---|
| LBN Legal business name | Fields, Warren Bradley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 30th, 2007 |
| Last updated | Sep 12th, 2024 - about 2 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 | 1225158694 | NPPES |
| Illinois | Other | P00707900 | MEDICARE RAILROAD |
| Illinois | MEDICAID | 036121035 | MEDICARE RAILROAD |
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