Active NPIIndividual provider

Kevin Bradley

Military Health Care Provider, Independent Duty Corpsman in Groton, Connecticut

NPI Number1922551266
Practice location
1 Wahoo Ave, Groton, CT 06349
Fax
—
Last updated
January 3, 2017

Kevin Bradley is a Military Health Care Provider, Independent Duty Corpsman based in Groton, CT. Kevin Bradley practices in Groton, CT. The NPI Number for Kevin Bradley is 1922551266. The current practice location address for Kevin Bradley is 1 Wahoo Ave, Groton, CT 06349 and can be reached out via phone at 860-694-4123.

Provider Profile Details

NPI Number
1922551266
Provider Name
Kevin Bradley
Provider Entity Type
Individual
Gender
Male
Address
1 Wahoo Ave, Groton, CT 06349
Phone Number
860-694-4123
Sole Proprietor
No
Provider Enumeration Date
August 3, 2016
Last Update Date
January 3, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Wahoo Ave
Groton, CT 06349
City
Groton
Zip
06349
Phone Number
860-694-4123
Groton, CT 06349Get directions →

Provider Business Mailing Address Details

Address
1 Wahoo Ave
Groton, CT 06349
City
Groton
State
CT
Zip
06349
Phone Number
860-694-4123

License Information

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 Kevin Bradley?

The NPI number of Kevin Bradley is 1922551266. It was assigned on August 3, 2016 and is currently active in the NPPES registry.

What is the specialty of Kevin Bradley?

Kevin Bradley is registered under the primary taxonomy Military Health Care Provider, Independent Duty Corpsman (code 1710I1002X).

Where does Kevin Bradley practice?

The practice location is 1 Wahoo Ave, Groton, CT 06349. The office can be reached at 860-694-4123 (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 1922551266 directly on the NPPES registry website.

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