Active NPIIndividual provider

Dr. David M Bradberry Jr., DO

Physical Medicine & Rehabilitation in East Sandwich, Massachusetts

NPI Number1558781120
Practice location
311 Service RD, East Sandwich, MA 02537-1370
Fax
508-833-4202
Last updated
November 9, 2021

David Mark Bradberry is a Physical Medicine & Rehabilitation based in East Sandwich, MA. David Mark Bradberry practices in East Sandwich, MA and has the professional credentials of DO. The NPI Number for David Mark Bradberry is 1558781120 and holds a License No. 63446 (MN). The current practice location address for David Mark Bradberry is 311 Service RD, East Sandwich, MA 02537-1370 and can be reached out via phone at 508-833-4160 and via fax at 508-833-4202.

Provider Profile Details

NPI Number
1558781120
Provider Name
David Mark Bradberry
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
311 Service RD, East Sandwich, MA 02537-1370
Phone Number
508-833-4160
Fax Number
508-833-4202
Primary Taxonomy
Physical Medicine & Rehabilitation · 208100000X
Sole Proprietor
No
Provider Enumeration Date
April 22, 2014
Last Update Date
November 9, 2021
Certification Date
September 30, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
311 Service RD
East Sandwich, MA 02537-1370
Zip
02537-1370
Phone Number
508-833-4160
Fax Number
508-833-4202
East Sandwich, MA 02537Get directions →

Provider Business Mailing Address Details

Address
311 Service RD
East Sandwich, MA 02537-1370
City
East Sandwich
State
MA
Zip
02537-1370
Phone Number
508-833-4160
Fax Number
508-833-4202

License Information

License Number (1)
63446
License State (1)
MN
Taxonomy (1)
Physical Medicine & Rehabilitation · 208100000X
License Number (2)
290305
License State (2)
MA
Taxonomy (2)
Physical Medicine & Rehabilitation · 208100000X · 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. David M Bradberry Jr., DO?

The NPI number of Dr. David M Bradberry Jr., DO is 1558781120. It was assigned on April 22, 2014 and is currently active in the NPPES registry.

What is the specialty of Dr. David M Bradberry Jr., DO?

Dr. David M Bradberry Jr., DO is registered under the primary taxonomy Physical Medicine & Rehabilitation (code 208100000X), licensed in MN under license number 63446.

Where does Dr. David M Bradberry Jr., DO practice?

The practice location is 311 Service RD, East Sandwich, MA 02537-1370. The office can be reached at 508-833-4160 (phone) or 508-833-4202 (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 1558781120 directly on the NPPES registry website.

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