Individual
MAHLON ARTHUR BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7 PAGE HILL RD, BERLIN, NH 03570-3531
(603) 752-2300
(603) 752-1836
Mailing address
PO BOX 547, ATT: CVMC-FINANCE DEPT, BARRE, VT 05641-0547
(802) 225-3970
(802) 225-1733
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
042.0012673
VT
207X00000X
Orthopaedic Surgery Physician
Primary
19700
NH
207X00000X
Orthopaedic Surgery Physician
260251
NY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
042.0012673
VT
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
57227
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0028303
NEIGHBORHOOD HEALTH PLAN
—
01
—
057227
TUFTS HEALTH PLAN
—
01
—
0901140
UNITED HEALTHCARE
—
05
—
1021940
—
VT
01
—
171031
HARVARD PILGRIM
—
01
—
2997952
AETNA
—
05
—
3025101
—
MA
01
—
39355
FALLON COMMUNITY HEALTH
—
01
—
522367186
UNICARE
—
01
—
52663
CIGNA
—
01
—
J06476
BLUE CROSS BLUE SHIELD
MA
01
—
P00018882
RAILROAD MEDICARE
—
Enumeration date
08/25/2005
Last updated
01/24/2020
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