Individual
DR. BRADLEY D BARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 E BROAD ST, ELYRIA, OH 44035-6306
(440) 365-8487
(440) 365-5486
Mailing address
1120 E BROAD ST STE 200, ELYRIA, OH 44035-6306
(440) 326-4410
(216) 201-6913
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35058929
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0779939
—
OH
05
—
3025372
—
OH
Enumeration date
04/12/2007
Last updated
12/08/2020
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