Individual
BRADLEY JAMES BANKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-8074
(859) 301-4945
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 212-4468
(859) 212-4357
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35088615
OH
207R00000X
Internal Medicine Physician
41293
KY
208M00000X
Hospitalist Physician
Primary
41293
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200937160
—
IN
05
—
2807609
—
OH
05
—
7100029200
—
KY
Enumeration date
03/17/2007
Last updated
04/26/2023
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