Individual
BRADLEY BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
19851 OBSERVATION DR STE 250, GERMANTOWN, MD 20876-4151
(301) 972-0400
Mailing address
13109 WONDERLAND WAY APT 4, GERMANTOWN, MD 20874-2399
(410) 474-8877
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0007464
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
01/11/2019
Last updated
03/08/2020
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