Individual
SCOTT BRADLEY
Active
Individual
SCOTT BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
101261721
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548571771
UNITED HEALTHCARE
VA
05
—
1548571771
—
VA
01
—
4194090
AETNA
VA
Enumeration date
06/22/2010
Last updated
04/15/2021
Update your record
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