Dr. Benjamin Daniel Bradford
Facial Plastic Surgeon
1895 Orange Tree Ln Ste 102
Redlands
, California 92374
Dr. Benjamin Daniel Bradford
Facial Plastic Surgeon
1895 Orange Tree Ln Ste 102
Redlands
, California 92374
(909) 558-2824
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About
Features
Specialties
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Benjamin Daniel Bradford
- 1895 Orange Tree Ln Ste 102
- Redlands, CA
- Zip : 92374-0112
- Phone : (909) 558-2824
Second Address
- Dr. Benjamin Daniel Bradford
- 1895 Orange Tree Ln Ste 102
- Redlands, CA
- Zip : 92374
- Phone : (909) 558-2824
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207YS0123X | Facial Plastic Surgeon | 286986 | NY |
| Y | 207YS0123X | Facial Plastic Surgeon | A126409 | CA |
National Provider Identifier
| NPI | 1629336128 |
|---|---|
| Provider Name | Dr. Benjamin Daniel Bradford |
| First Address | Redlands, CA 92374-0112 |
| Second Address | Redlands, CA 92374 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/05/2012 |
| Last Update Date | 10/06/2018 |
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.