Dr. Timothy Michael Bradley
Surgery of the Hand Plastic and Reconstructive Surgery
3310 W Main St Suite 200
St Charles
, Illinois 60175-1000
Dr. Timothy Michael Bradley
Surgery of the Hand Plastic and Reconstructive Surgery
3310 W Main St Suite 200
St Charles
, Illinois 60175-1000
(630) 859-6800
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About
Features
Specialties
- Surgery of the Hand
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Dr. Timothy Michael Bradley
- 3310 W Main St Suite 200
- St Charles, IL
- Zip : 60175-1000
- Phone : (630) 859-6800
Second Address
- Dr. Timothy Michael Bradley
- 3310 W Main St Suite 200
- St Charles, IL
- Zip : 60175-1000
- Fax : (630) 659-3502
- Phone : (630) 897-6044
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2086S0105X | Surgery of the Hand | 036-082971 | IL |
| Y | 2086S0122X | Plastic and Reconstructive Surgery | 036-082971 | IL |
National Provider Identifier
| NPI | 1568682508 |
|---|---|
| Provider Name | Dr. Timothy Michael Bradley |
| First Address | St Charles, IL 60175-1000 |
| Second Address | St Charles, IL 60175-1000 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/05/2007 |
| Last Update Date | 16/07/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036-082971 | (05) | IL |
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.