Individual
DR. BENJAMIN DANIEL BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
276 KINGSBURY GRADE # 101, STATELINE, NV 89449-9804
(775) 588-5000
Mailing address
PO BOX 5910, STATELINE, NV 89449-5910
(775) 588-5000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
22619
NV
207YS0123X
Facial Plastic Surgery Physician
Primary
22619
NV
207YS0123X
Facial Plastic Surgery Physician
286986
NY
207YS0123X
Facial Plastic Surgery Physician
A126409
CA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
22619
NV
2086S0122X
Plastic and Reconstructive Surgery Physician
22619
NV
Other
Enumeration date
05/03/2012
Last updated
01/30/2023
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