Individual
ERIC W. BRADBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
475 SHOPPERS DR, WINCHESTER, KY 40391-1380
(859) 744-5111
(859) 744-1177
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7840
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35962
KY
208000000X
Pediatrics Physician
35962
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6400
MEDICARE GROUP NUMBER
KY
05
—
64068257
—
KY
Enumeration date
05/25/2006
Last updated
05/07/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us