Individual
BRADLEY SCOTT FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
703 RUTTER AVE, KINGSTON, PA 18704-4801
(570) 288-7405
(570) 288-7406
Mailing address
2661 RIVA RD STE 1030, ANNAPOLIS, MD 21401-7131
(667) 354-5528
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
MD493652
PA
207W00000X
Ophthalmology Physician
ME157141
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
ME157141
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3150402
—
MA
01
—
J16529
BLUECROSS BLUESHIELD
MA
Enumeration date
09/26/2005
Last updated
03/21/2026
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