Individual
DR. GEORGE M BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3150
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000090657
—
AL
05
—
009910120
—
AL
05
—
009983310
—
AL
01
—
51005719
BCBS AL
AL
01
—
51047565
BCBS OF ALABAMA
AL
01
—
51090657
BCBS OF ALABAMA
AL
01
—
511-05901
BC/BC OF ALABAMA
AL
01
—
51549612
BCBS OF ALABAMA
AL
01
—
650035
UNITED CONCORDIA
AL
Enumeration date
09/26/2006
Last updated
06/30/2010
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