Individual
DR. BRADFORD MARTIN FINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1401 HARRODSBURG RD, C115, LEXINGTON, KY 40504-3751
(859) 278-8855
(859) 278-8856
Mailing address
1401 HARRODSBURG RD, C115, LEXINGTON, KY 40504-3751
(859) 278-8855
(859) 278-8856
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
00313
KY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
00313
KY
213ES0103X
Foot & Ankle Surgery Podiatrist
PO3163
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6569
MEDICARE GROUP
KY
05
—
7100003410
—
KY
01
—
80900061
MEDICAID GROUP
KY
Enumeration date
06/02/2006
Last updated
10/30/2007
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