Individual
DR. BRADLEY M TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4085 UNIVERSITY BLVD S, SUITE 3, JACKSONVILLE, FL 32216-4357
(904) 448-4180
(904) 448-4184
Mailing address
4085 UNIVERSITY BLVD S, SUITE 3, JACKSONVILLE, FL 32216-4357
(904) 448-4180
(904) 448-4184
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A60531
CA
174400000X
Specialist
Primary
ME122131
FL
208100000X
Physical Medicine & Rehabilitation Physician
MD2014-0144
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00085800
MEDICARE RAILROAD
CA
Enumeration date
05/27/2005
Last updated
01/14/2015
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