Individual
DR. BRUCE EDWARD BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBCHB
Contact information
Practice address
100 N EAGLE CREEK DR, LEXINGTON, KY 40509
(859) 258-5300
(859) 258-5357
Mailing address
100 N EAGLE CREEK DR, LEXINGTON, KY 40509-1805
(859) 258-5300
(859) 258-5357
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
45827
KY
207RC0000X
Cardiovascular Disease Physician
Primary
45827
KY
208M00000X
Hospitalist Physician
45827
KY
Other
Enumeration date
09/01/2010
Last updated
06/13/2019
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