Individual
MARK STEPHEN BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1925 ASPEN DR STE 500B, SANTA FE, NM 87505-5495
(505) 466-2575
(505) 466-2575
Mailing address
1925 ASPEN DR STE 500B, SANTA FE, NM 87505-5495
(505) 466-2575
(505) 466-2575
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2002-0015
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85327760
—
NM
01
—
NM400109
MEDICARE INDIVIDUAL PTAN
—
Enumeration date
07/05/2006
Last updated
07/26/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us