Active NPIIndividual provider

Dr. John C Bradley, MD

Psychiatry & Neurology, Psychiatry in Brockton, Massachusetts

NPI Number1174572721
Practice location
940 Belmont St, Brockton, MA 02301-5596
Fax
774-826-2476
Last updated
June 29, 2012

John C Bradley is a Psychiatry & Neurology, Psychiatry based in Brockton, MA. John C Bradley practices in Brockton, MA and has the professional credentials of MD. The NPI Number for John C Bradley is 1174572721 and holds a License No. G71728 (CA). The current practice location address for John C Bradley is 940 Belmont St, Brockton, MA 02301-5596 and can be reached out via phone at 617-981-2109 and via fax at 774-826-2476.

Provider Profile Details

NPI Number
1174572721
Provider Name
John C Bradley
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
940 Belmont St, Brockton, MA 02301-5596
Phone Number
617-981-2109
Fax Number
774-826-2476
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
No
Provider Enumeration Date
May 10, 2006
Last Update Date
June 29, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
940 Belmont St
Brockton, MA 02301-5596
Zip
02301-5596
Phone Number
617-981-2109
Fax Number
774-826-2476
Brockton, MA 02301Get directions →

Provider Business Mailing Address Details

Address
269 High St
Hingham, MA 02043-3357
City
Hingham
State
MA
Zip
02043-3357
Phone Number
781-974-0810

License Information

License Number
G71728
License State
CA
Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary

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 Dr. John C Bradley, MD?

The NPI number of Dr. John C Bradley, MD is 1174572721. It was assigned on May 10, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. John C Bradley, MD?

Dr. John C Bradley, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in CA under license number G71728.

Where does Dr. John C Bradley, MD practice?

The practice location is 940 Belmont St, Brockton, MA 02301-5596. The office can be reached at 617-981-2109 (phone) or 774-826-2476 (fax).

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 1174572721 directly on the NPPES registry website.

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