Individual
DON BRADKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2355 STANFORD CT UNIT 701, NAPLES, FL 34112-4813
(239) 566-7425
(239) 593-3430
Mailing address
2355 STANFORD CT UNIT 701, NAPLES, FL 34112-4813
(239) 566-7425
(239) 593-3430
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
01051351
IN
207P00000X
Emergency Medicine Physician
01051351A
IN
207R00000X
Internal Medicine Physician
Primary
LL817
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000602173
BLUE SHIELD
IN
01
—
000000625951
BLUE CROSS BLUE SHIELD
IN
05
—
200247510
—
IN
Enumeration date
08/04/2006
Last updated
07/21/2022
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