Individual
DONALD R BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 N PATTERSON RD, REED CITY, MI 49677-8041
(231) 832-6670
Mailing address
300 N PATTERSON RD, REED CITY, MI 49677-8041
(231) 832-6670
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301039106
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000494775
ANTHEM
—
01
—
04583
PHC
MI
01
—
101298
CARE CHOICES
MI
01
—
148550
GLHP
MI
01
—
1606300341
BCBS MI
MI
01
—
21026
HPM
MI
05
—
2517726
—
OH
01
—
4256815
AETNA
MI
05
—
4647812
—
MI
01
—
P00268090
RRMC
MI
Enumeration date
08/16/2005
Last updated
08/13/2012
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