Individual
BRADLEY ERIC SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11600 W 2ND PL, ST. ANTHONY HOSPITAL, EMERGENCY DEPT., LAKEWOOD, CO 80228-1527
(720) 321-4161
(720) 321-4165
Mailing address
PO BOX 5788, DENVER, CO 80217-5788
(720) 979-8969
(303) 202-1281
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35183
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01351832
—
CO
05
—
122709200
—
WY
05
—
143705
—
AZ
05
—
200384180A
—
KS
05
—
7717960
—
SD
05
—
8472334
—
WA
01
—
P00384488
RR MEDICARE
CO
05
—
S2077
—
NM
05
—
Z3274
—
UT
Enumeration date
07/21/2006
Last updated
08/01/2013
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