Individual
BRADFORD BERK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-4751
Mailing address
601 ELMWOOD AVE, BOX 679B, ROCHESTER, NY 14642-0001
(585) 275-2475
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
211987
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00040108301
UNIVERA
NY
01
—
005257001
BC/BS OF WESTERN NY
NY
05
—
01882640
—
NY
01
—
060060668
MEDICARE RAILROAD
NY
01
—
1052
BLUE SHIELD
NY
01
—
4501431
AETNA
NY
01
—
MDE248
PREFERRED CARE
NY
01
—
P010211987
BLUE CHOICE
NY
Enumeration date
06/15/2006
Last updated
07/05/2023
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