William W. Bradley, M.D., P.C.

LBN: William W. Bradley, M.D., P.C.
William W. Bradley, M.D., P.C. is an health care organization with primary practice located at 120 N Rollins St , Centralia MO 65240-1327. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. William W. Bradley, M.D., P.C. can be contacted via phone (573) 682-2101, or through Bradley, William W via phone (573) 682-2101.

Contact Information

Primary practice address
120 N Rollins St Centralia MO 65240-1327
Phone: (573) 682-2101
Fax: (573) 682-2496
Website:
Map and Directions
Authorized official contact:
Name: Bradley, William W Doctor of Medicine (MD)
Phone: (573) 682-2101

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1619298809
LBN Legal business name William W. Bradley, M.D., P.C.
DBA Doing business as
Authorized official Bradley, William W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2010
Last updated Jun 22nd, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619298809 NPPES
Missouri MEDICAID 200178903

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