Individual
DR. JOHN F BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 W SPRING ST FL 5, COLUMBUS, OH 43215-2241
(614) 466-6239
(614) 728-0472
Mailing address
30 W SPRING ST FL 5, COLUMBUS, OH 43215-2241
(614) 466-6239
(614) 728-0472
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
35049656
OH
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
35049656
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0616604
—
OH
Enumeration date
05/24/2013
Last updated
05/24/2013
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