# BRADFORD FAMILY MEDICINE, INC.

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

## Provider details

- **NPI number:** 1245272525
- **Authorized official:** DR. JILL M. OWENS M.D. (PRESIDENT AND CEO)
- **Authorized official phone:** (814) 362-6962

## Contact information

- **Practice address:** 14 N 3RD ST, BRADFORD, PA 16701-3335
- **Practice address phone:** (814) 362-6962
- **Practice address fax:** (814) 362-4956
- **Mailing address:** 14 N 3RD ST, BRADFORD, PA 16701-3335
- **Mailing address phone:** (814) 362-6962
- **Mailing address fax:** (814) 362-4956

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD-068703-L | PA | Yes |

## Other

- **Enumeration date:** 06/12/2006
- **Last updated:** 08/22/2020