Bradley Charles Robertson
Plastic and Reconstructive Surgery
1 Barrington Pl
Bel Air
, Maryland 21014-5607
Bradley Charles Robertson
Plastic and Reconstructive Surgery
1 Barrington Pl
Bel Air
, Maryland 21014-5607
(410) 836-7235
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Bradley Charles Robertson
- 1 Barrington Pl
- Bel Air, MD
- Zip : 21014-5607
- Fax : (410) 836-7235
- Phone : (410) 836-7205
Second Address
- Bradley Charles Robertson
- 1 Barrington Pl
- Bel Air, MD
- Zip : 21014-5607
- Fax : (410) 836-7235
- Phone : (410) 836-7205
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0122X | Plastic and Reconstructive Surgery | D0037409 | MD |
National Provider Identifier
| NPI | 1336151109 |
|---|---|
| Provider Name | Bradley Charles Robertson |
| First Address | Bel Air, MD 21014-5607 |
| Second Address | Bel Air, MD 21014-5607 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/08/2006 |
| Last Update Date | 14/03/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 099N997F | MEDICARE (01) | MD |
| 1056903 | UNITED HEALTHCARE (01) | MD |
| 2432226 | CIGNA (01) | MD |
| 3115795 | OPTIMUM CHOICE (01) | MD |
| 45663365 | AETNA (01) | MD |
| 52997412 | CAREFIRST (01) | MD |
| K058 0001 | CAREFIRST (01) | DC |
| P00185846 | RAILROAD MEDICARE (01) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.