Organization
BRADLEY GYNECOLOGY, P.C.
Active
Organization
BRADLEY GYNECOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON BRADLEY MD (OWNER)
(701) 751-2272
Entity
Organization
Contact information
Practice address
3100 N 11TH ST STE 1, BISMARCK, ND 58503-1210
(701) 751-2272
Mailing address
3100 N 11TH ST STE 1, BISMARCK, ND 58503-1210
(701) 751-2272
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207VG0400X
Gynecology Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
05/18/2024
Last updated
04/16/2025
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