Evan S Bradley, MD
Emergency Medicine in Worcester, Massachusetts
1609289354- Practice location
- 55 Lake Ave N, Worcester, MA 01655-0002
- Phone
- 508-421-1400
- Fax
- 508-421-1490
- Last updated
- November 9, 2020
Evan S. Bradley is an Emergency Medicine based in Worcester, MA. Evan S. Bradley practices in Worcester, MA and has the professional credentials of MD. The NPI Number for Evan S. Bradley is 1609289354 and holds a License No. 269735 (MA). The current practice location address for Evan S. Bradley is 55 Lake Ave N, Worcester, MA 01655-0002 and can be reached out via phone at 508-421-1400 and via fax at 508-421-1490.
Provider Profile Details
- NPI Number
- 1609289354
- Provider Name
- Evan S. Bradley
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 55 Lake Ave N, Worcester, MA 01655-0002
- Phone Number
- 508-421-1400
- Fax Number
- 508-421-1490
- Primary Taxonomy
- Emergency Medicine · 207P00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 10, 2014
- Last Update Date
- November 9, 2020
- Certification Date
- November 9, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Lake Ave N
Worcester, MA 01655-0002 - City
- Worcester
- State
- Massachusetts
- Zip
- 01655-0002
- Phone Number
- 508-421-1400
- Fax Number
- 508-421-1490
Provider Business Mailing Address Details
- Address
- Po Box 415348
Boston, MA 02241-5348 - City
- Boston
- State
- MA
- Zip
- 02241-5348
License Information
- License Number (1)
- 269735
- License State (1)
- MA
- Taxonomy (1)
- Emergency Medicine, Medical Toxicology · 207PT0002X
- License Number (2)
- 269735
- License State (2)
- MA
- Taxonomy (2)
- Emergency Medicine · 207P00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Evan S Bradley, MD?
The NPI number of Evan S Bradley, MD is 1609289354. It was assigned on June 10, 2014 and is currently active in the NPPES registry.
What is the specialty of Evan S Bradley, MD?
Evan S Bradley, MD is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in MA under license number 269735.
Where does Evan S Bradley, MD practice?
The practice location is 55 Lake Ave N, Worcester, MA 01655-0002. The office can be reached at 508-421-1400 (phone) or 508-421-1490 (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 1609289354 directly on the NPPES registry website.