Individual
DR. BRADLEY ALAN FORD
Active
Individual
DR. BRADLEY ALAN FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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