# EDWARD T BRADBURY MD A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144255753
- **Authorized official:** DR. EDWARD BRADBURY M.D. (OWNER)
- **Authorized official phone:** (831) 722-8123

## Contact information

- **Practice address:** 150 CARNATION DR, SUITE 2, FREEDOM, CA 95019-3132
- **Practice address phone:** (831) 722-8123
- **Mailing address:** PO BOX 1899, FREEDOM, CA 95019-1899
- **Mailing address phone:** (831) 722-8123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | A23889 | CA | Yes |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 03/16/2016