Individual
BRADLEY CHARLES ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 BARRINGTON PL, BEL AIR, MD 21014-5607
(410) 836-7205
(410) 836-7235
Mailing address
1 BARRINGTON PL, BEL AIR, MD 21014-5607
(410) 836-7205
(410) 836-7235
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
D0037409
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
099N997F
MEDICARE
MD
01
—
1056903
UNITED HEALTHCARE
MD
01
—
2432226
CIGNA
MD
01
—
3115795
OPTIMUM CHOICE
MD
01
—
45663365
AETNA
MD
01
—
52997412
CAREFIRST
MD
01
—
K058 0001
CAREFIRST
DC
01
—
P00185846
RAILROAD MEDICARE
GA
Enumeration date
08/12/2006
Last updated
03/14/2013
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