Scott, Bradley J

Scott, Bradley J is an individual health care provider with primary practice located at 52500 Fir Rd , Granger IN 46530-8579. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Scott, Bradley J can be contacted via phone (574) 271-0700.

Contact Information

Primary practice address
52500 Fir Rd Granger IN 46530-8579
Phone: (574) 271-0700
Fax: (574) 273-5648
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01044001A Indiana

Profile Details

NPI number 1720078835
LBN Legal business name Scott, Bradley J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Jul 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720078835 NPPES
Indiana MEDICAID 200025910

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