Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 272574 | NY |
N | 111NI0900X | Internist | 272574 | NY |
Y | 207RH0000X | Hematologist | ME137418 | FL |
NPI | 1134495021 |
---|---|
Provider Name | Dr. Terrence J Bradley |
First Address | Miami, FL 33136-1002 |
Second Address | Miami, FL 33136 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2012 |
Last Update Date | 01/08/2018 |