Mr. Bradley P Herold, PA-C
Physician Assistant, Surgical in Derby, Connecticut
1457658791- Practice location
- 130 Division St, Derby, CT 06418-1326
- Phone
- 203-735-7421
- Fax
- —
- Last updated
- October 12, 2018
Bradley P Herold is a Physician Assistant, Surgical based in Derby, CT. Bradley P Herold practices in Derby, CT and has the professional credentials of PA-C. The NPI Number for Bradley P Herold is 1457658791 and holds a License No. 3050 (CT). The current practice location address for Bradley P Herold is 130 Division St, Derby, CT 06418-1326 and can be reached out via phone at 203-735-7421.
Provider Profile Details
- NPI Number
- 1457658791
- Provider Name
- Bradley P Herold
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 130 Division St, Derby, CT 06418-1326
- Phone Number
- 203-735-7421
- Primary Taxonomy
- Physician Assistant, Surgical · 363AS0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 23, 2011
- Last Update Date
- October 12, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 130 Division St
Derby, CT 06418-1326 - City
- Derby
- State
- Connecticut
- Zip
- 06418-1326
- Phone Number
- 203-735-7421
Provider Business Mailing Address Details
- Address
- 67 Maple Ave
Derby, CT 06418-1328 - City
- Derby
- State
- CT
- Zip
- 06418-1328
- Phone Number
- 203-732-1330
- Fax Number
- 203-732-1332
License Information
- License Number
- 3050
- License State
- CT
- Taxonomy
- Physician Assistant, Surgical · 363AS0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistant, Surgical providers near Derby, CT
View all Physician Assistant, Surgical providers in Derby →- Alexander S Hayden, PA-CPhysician Assistant, Surgical · NPI 1336592013
- Beitris Mckeon, PA-CPhysician Assistant, Surgical · NPI 1457767238
- Brenton R Dempsey, PA-CPhysician Assistant, Surgical · NPI 1528310067
- Brittany Schnepp, PA-CPhysician Assistant, Surgical · NPI 1780012161
- Courtney A Chenault, PA-CPhysician Assistant, Surgical · NPI 1881219186
- Janelle A Gagne, PA-CPhysician Assistant, Surgical · NPI 1245332105
Frequently Asked Questions
What is the NPI number of Mr. Bradley P Herold, PA-C?
The NPI number of Mr. Bradley P Herold, PA-C is 1457658791. It was assigned on February 23, 2011 and is currently active in the NPPES registry.
What is the specialty of Mr. Bradley P Herold, PA-C?
Mr. Bradley P Herold, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in CT under license number 3050.
Where does Mr. Bradley P Herold, PA-C practice?
The practice location is 130 Division St, Derby, CT 06418-1326. The office can be reached at 203-735-7421 (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 1457658791 directly on the NPPES registry website.