Individual
DR. RONALD H BRADLEY
Active
Individual
DR. RONALD H BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO PHD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
RB009024
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15-21053
PHP
MI
01
—
2753324064
BLUE CROSS BLUE SHIELD
MI
05
—
2905346
—
MI
Enumeration date
06/20/2006
Last updated
11/14/2013
Update your record
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