Individual
DR. BRADLEY J SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
52500 FIR RD, GRANGER, IN 46530-8579
(574) 271-0700
(574) 273-5648
Mailing address
52500 FIR RD, GRANGER, IN 46530-8579
(574) 271-0700
(574) 273-5648
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01044001A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200025910
—
IN
Enumeration date
10/28/2005
Last updated
07/29/2016
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