Active NPIIndividual provider

Joel M Bradley, MD

Pediatrics in Lebanon, New Hampshire

NPI Number1164782850
Practice location
1 Medical Center Dr, Dartmouth Hitchcock - Pediatrics, Lebanon, NH 03756-1000
Fax
—
Last updated
September 8, 2016

Joel Matthew Bradley is a Pediatrics based in Lebanon, NH. Joel Matthew Bradley practices in Lebanon, NH and has the professional credentials of MD. The NPI Number for Joel Matthew Bradley is 1164782850 and holds a License No. 17489 (NH). The current practice location address for Joel Matthew Bradley is 1 Medical Center Dr, Dartmouth Hitchcock - Pediatrics, Lebanon, NH 03756-1000 and can be reached out via phone at 603-653-6063.

Provider Profile Details

NPI Number
1164782850
Provider Name
Joel Matthew Bradley
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1 Medical Center Dr, Dartmouth Hitchcock - Pediatrics, Lebanon, NH 03756-1000
Phone Number
603-653-6063
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
May 29, 2012
Last Update Date
September 8, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Medical Center Dr
Dartmouth Hitchcock - Pediatrics
Lebanon, NH 03756-1000
Zip
03756-1000
Phone Number
603-653-6063
Lebanon, NH 03756Get directions →

Provider Business Mailing Address Details

Address
1 Medical Center Dr
Dartmouth Hitchcock - Pediatrics
Lebanon, NH 03756-1000
City
Lebanon
State
NH
Zip
03756-1000
Phone Number
603-653-6063

License Information

License Number (1)
17489
License State (1)
NH
Taxonomy (1)
Pediatrics · 208000000X · Primary
License Number (2)
EC121077
License State (2)
ME
Taxonomy (2)
Internal Medicine · 207R00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Joel M Bradley, MD?

The NPI number of Joel M Bradley, MD is 1164782850. It was assigned on May 29, 2012 and is currently active in the NPPES registry.

What is the specialty of Joel M Bradley, MD?

Joel M Bradley, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NH under license number 17489.

Where does Joel M Bradley, MD practice?

The practice location is 1 Medical Center Dr, Dartmouth Hitchcock - Pediatrics, Lebanon, NH 03756-1000. The office can be reached at 603-653-6063 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164782850 directly on the NPPES registry website.

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