Individual
SEAN MICHAEL BRADLEY
Active
Individual
SEAN MICHAEL BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
10077814-1205
UT
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
2025-01640
NC
207RS0010X
Sports Medicine (Internal Medicine) Physician
323284
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2015
Last updated
07/03/2025
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