Dr. Bradley Pierce Mudge
Surgeon Dermatologist Plastic Hand Surgeon
240 Newport Center Drive Suite 105
Newport Beach
, California 92660-7538
Dr. Bradley Pierce Mudge
Surgeon Dermatologist Plastic Hand Surgeon
240 Newport Center Drive Suite 105
Newport Beach
, California 92660-7538
(949) 644-2451
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About
Features
Specialties
- Dermatologist
- Surgeon
- Plastic Hand Surgeon
Languages spoken
- English
Location
First Address
- Dr. Bradley Pierce Mudge
- 240 Newport Center Dr #105
- Newport Beach, CA
- Zip : 92660-7512
- Fax : (949) 644-2451
- Phone : (949) 644-2450
Second Address
- Dr. Bradley Pierce Mudge
- 240 Newport Center Drive Suite 105
- Newport Beach, CA
- Zip : 92660-7538
- Fax : (949) 644-2451
- Phone : (949) 644-2450
Reviews
FAQs
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Where is Dr. Bradley Pierce Mudge ’s practice located?
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Is Dr. Bradley Pierce Mudge a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | A79221 | CA |
| Y | 208200000X | Surgeon | A79221 | CA |
| Y | 208600000X | Surgeon | A79221 | CA |
| N | 2082S0105X | Plastic Hand Surgeon | A79221 | CA |
National Provider Identifier
| NPI | 1891764700 |
|---|---|
| Provider Name | Dr. Bradley Pierce Mudge |
| First Address | Newport Beach, CA 92660-7512 |
| Second Address | Newport Beach, CA 92660-7538 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/03/2006 |
| Last Update Date | 20/07/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H66771 | (02) |
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.