Individual
BRADLEY JOHN BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
285 SE 5TH AVE, DELRAY BEACH, FL 33483-5206
(561) 272-8991
(561) 272-8985
Mailing address
285 SE 5TH AVE, DELRAY BEACH, FL 33483-5206
(561) 272-8991
(561) 272-8985
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME80414
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0610645
CIGNA
FL
01
—
10467
TOTAL HEALTH CHOICE
FL
01
—
10511
DIMENSION
FL
01
—
114893
HUMANA HMO
FL
01
—
238939
AMERIGROUP
FL
05
—
268188901
—
FL
01
—
278678
WELLCARE
FL
01
—
293270
AV MED
FL
01
—
30114893
HUMANA
FL
01
—
332659
PHC
FL
01
—
3580558
AETNA
FL
01
—
37543
BCBS
FL
01
—
FP4185
BEECH STREET
FL
01
—
P3606154
OXFORD
FL
Enumeration date
07/08/2005
Last updated
04/22/2008
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