Individual
MICHAEL BRADLEY SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601-1929
(757) 594-2000
Mailing address
1305 WALT WHITMAN RD STE 300, MELVILLE, NY 11747-4300
(516) 945-3000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101249468
VA
207L00000X
Anesthesiology Physician
197187
NY
207L00000X
Anesthesiology Physician
D0062365
MD
207L00000X
Anesthesiology Physician
MD428861
PA
207L00000X
Anesthesiology Physician
ME124285
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01862000
—
NY
05
—
1016536210001
—
PA
Enumeration date
07/07/2005
Last updated
06/23/2026
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