# JOHN BRADLEY MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** John C Bradley, M.D.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902987019
- **Authorized official:** DR. JOHN C BRADLEY M.D. (OWNER)
- **Authorized official phone:** (301) 460-8377

## Contact information

- **Practice address:** 13975 CONNECTICUT AVE, SUITE 204, SILVER SPRING, MD 20906
- **Practice address phone:** (301) 460-8377
- **Practice address fax:** (301) 460-3794
- **Mailing address:** 11017 DAYBREAK COURT, ROCKVILLE, MD 20852-4107
- **Mailing address phone:** (301) 460-8377
- **Mailing address fax:** (301) 460-3794

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | D0014024 | MD | Yes |
| 207W00000X | Ophthalmology Physician | MD5818 | DC | — |

## Other

- **Enumeration date:** 10/17/2006
- **Last updated:** 12/12/2009
