Individual
DR. BRADLEY JOHN POTSIC
Active
Individual
DR. BRADLEY JOHN POTSIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME121467
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063533412
—
CA
05
—
1063533412
—
NV
01
—
P01224603
RR MEDICARE
NV
01
—
P01250080
RR MEDICARE DR
NV
Enumeration date
04/03/2007
Last updated
10/19/2023
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