Individual
DR. BRADLEY ALAN FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3732 CARMAN RD, SCHENECTADY, NY 12303-5422
(518) 356-4132
(518) 355-3996
Mailing address
711 TROY SCHENECTADY RD STE 203, LATHAM, NY 12110-2461
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
138471
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000401463001
BSNENY
NY
05
—
00571471
—
NY
01
—
070124000057
FIDELIS
NY
01
—
10000668
CDPHP
NY
01
—
11535
GHI/HMO
NY
01
—
200305
SENIOR WHOLE HEALTH
NY
01
—
26118
MVP
NY
01
—
4644607
AETNA
NY
01
—
545161
EMPIRE BC
NY
Enumeration date
06/28/2006
Last updated
01/24/2018
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