Dr. Bradford Newhall Edgren
Orthodontists
3400 W 16th St Bldg 4-V
Greeley
, Colorado 80634-6862
Dr. Bradford Newhall Edgren
Orthodontists
3400 W 16th St Bldg 4-V
Greeley
, Colorado 80634-6862
(970) 356-2418
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. Bradford Newhall Edgren
- 3400 W 16th St Bldg 4-V
- Greeley, CO
- Zip : 80634-6862
- Fax : (970) 356-2418
- Phone : (970) 356-5900
Second Address
- Dr. Bradford Newhall Edgren
- 3400 W 16th St Bldg 4-V
- Greeley, CO
- Zip : 80634-6862
- Fax : (970) 356-2418
- Phone : (970) 356-5900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 6883 | CO |
National Provider Identifier
| NPI | 1063532448 |
|---|---|
| Provider Name | Dr. Bradford Newhall Edgren |
| First Address | Greeley, CO 80634-6862 |
| Second Address | Greeley, CO 80634-6862 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/03/2007 |
| Last Update Date | 08/07/2007 |
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.