Individual
BRADFORD WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3601 W 13 MILE RD, EC, ROYAL OAK, MI 48073-6769
(248) 423-3144
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301041045
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010F362410
BCBSM
MI
05
—
2917991
—
MI
Enumeration date
03/24/2006
Last updated
02/24/2026
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