Individual
DR. JOHN ADDITON BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
925 UNION ST STE 3, BANGOR, ME 04401-3051
(207) 973-9980
(207) 973-7515
Mailing address
43 WHITING HILL RD STE 300, BREWER, ME 04412-1006
(207) 973-5035
(207) 973-5042
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
011526
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002921
BLUES
ME
01
—
100289800
US DEPT OF LABOR
ME
01
—
1044474
AETNA
ME
05
—
116170000
—
ME
01
—
200002275
MEDICARE RAILROAD
ME
01
—
D03693
HARVARD PILGRIM
ME
01
—
M57740
CIGNA
ME
Enumeration date
12/21/2005
Last updated
01/29/2014
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