Individual
DR. JOCKULAR BRADY FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 JORDAN RD, SUITE 200, TROY, NY 12180-8343
(518) 274-0476
(518) 274-0497
Mailing address
711 TROY SCHENECTADY RD, SUITE 203, LATHAM, NY 12110-2442
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
127727
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00040400801
UNIVERA
NY
01
—
000416095001
BLUE SHIELD
NY
01
—
0005367485
AETNA
NY
01
—
0015055
GHI
NY
05
—
00298971
—
NY
01
—
040426006337
FIDELIS
NY
01
—
10000669
CDPHP
NY
01
—
110129
WELLCARE
NY
01
—
141655014
UNITED HEALTHCARE
NY
01
—
160011356
RAILROAD MEDICARE
NY
01
—
16151
MVP
NY
01
—
45520
GHIHMO
NY
01
—
50Z111
BLUE CROSS
NY
Enumeration date
05/03/2006
Last updated
08/16/2013
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