Active NPIIndividual providerSole proprietor

Marcella W Bradway, MD

Colon & Rectal Surgery in Pittsfield, Massachusetts

NPI Number1669478657
Practice location
777 North St, Suite 605, Pittsfield, MA 01201-4147
Fax
413-346-6703
Last updated
June 26, 2012

Marcella W Bradway is a Colon & Rectal Surgery based in Pittsfield, MA. Marcella W Bradway practices in Pittsfield, MA and has the professional credentials of MD. The NPI Number for Marcella W Bradway is 1669478657 and holds a License No. 037814 (CT). The current practice location address for Marcella W Bradway is 777 North St, Suite 605, Pittsfield, MA 01201-4147 and can be reached out via phone at 413-447-2745 and via fax at 413-346-6703.

Provider Profile Details

NPI Number
1669478657
Provider Name
Marcella W Bradway
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
777 North St, Suite 605, Pittsfield, MA 01201-4147
Phone Number
413-447-2745
Fax Number
413-346-6703
Primary Taxonomy
Colon & Rectal Surgery · 208C00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 23, 2005
Last Update Date
June 26, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
777 North St
Suite 605
Pittsfield, MA 01201-4147
Zip
01201-4147
Phone Number
413-447-2745
Fax Number
413-346-6703
Pittsfield, MA 01201Get directions →

Provider Business Mailing Address Details

Address
93 Ridge Ave
Pittsfield, MA 01201-1442
City
Pittsfield
State
MA
Zip
01201-1442
Phone Number
413-447-2745
Fax Number
413-346-6703

License Information

License Number
037814
License State
CT
Taxonomy
Colon & Rectal Surgery · 208C00000X · 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 Marcella W Bradway, MD?

The NPI number of Marcella W Bradway, MD is 1669478657. It was assigned on June 23, 2005 and is currently active in the NPPES registry.

What is the specialty of Marcella W Bradway, MD?

Marcella W Bradway, MD is registered under the primary taxonomy Colon & Rectal Surgery (code 208C00000X), licensed in CT under license number 037814.

Where does Marcella W Bradway, MD practice?

The practice location is 777 North St, Suite 605, Pittsfield, MA 01201-4147. The office can be reached at 413-447-2745 (phone) or 413-346-6703 (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 1669478657 directly on the NPPES registry website.

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