Individual
DR. BRADLEY ANTHONY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3301 MERCY HEALTH BLVD STE 450, CINCINNATI, OH 45211-1106
(513) 981-6784
(513) 215-9397
Mailing address
3301 MERCY HEALTH BLVD STE 450, CINCINNATI, OH 45211-1106
(513) 981-6784
(513) 215-9397
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
52599
KY
207X00000X
Orthopaedic Surgery Physician
57.025028
OH
390200000X
Student in an Organized Health Care Education/Training Program
52599
KY
390200000X
Student in an Organized Health Care Education/Training Program
57.025028
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300040080
—
IN
05
—
7100624150
—
KY
01
—
K277190-KOMG
MEDICARE PIN
KY
Enumeration date
04/19/2014
Last updated
07/28/2020
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