Individual
BRADLEY HOWARD CHESLER
Active
Individual
BRADLEY HOWARD CHESLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A43963
CA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
A43963
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A439630
—
CA
05
—
00A439631
—
CA
01
—
125649400
U.S DEPARTMENT OF LABOR
—
01
—
1505013
BLUE SHIELD NUMBER
CA
01
—
330362515920250000
TRICARE PROVIDER NUMBER
CA
Enumeration date
05/24/2005
Last updated
09/15/2015
Update your record
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