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Individual
DR. ELLEN COLLEEN BRADLEY
Active
Individual
DR. ELLEN COLLEEN BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
310102
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
02009055A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
06352
KY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
TP925
KY
207RP1001X
Pulmonary Disease Physician
Primary
02009055A
IN
207RP1001X
Pulmonary Disease Physician
06352
KY
207RP1001X
Pulmonary Disease Physician
310102
NY
207RP1001X
Pulmonary Disease Physician
TP925
KY
207RS0012X
Sleep Medicine (Internal Medicine) Physician
02009055A
IN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
06352
KY
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
310102
NY
207RS0012X
Sleep Medicine (Internal Medicine) Physician
TP925
KY
Other
Enumeration date
05/19/2017
Last updated
06/19/2026
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