Russell D Bradford
Pediatric Infectious Diseases
1034 N 500 W
Provo
, Utah 84604-3380
Russell D Bradford
Pediatric Infectious Diseases
1034 N 500 W
Provo
, Utah 84604-3380
(801) 491-6482
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About
Features
Specialties
- Pediatric Infectious Diseases
Languages spoken
- English
Location
First Address
- Russell D Bradford
- Po Box 27128
- Salt Lake City, UT
- Zip : 84127-0128
- Phone : (801) 491-6482
Second Address
- Russell D Bradford
- 1034 N 500 W
- Provo, UT
- Zip : 84604-3380
- Phone : (801) 491-6482
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0208X | Pediatric Infectious Diseases | 23648 | AL |
National Provider Identifier
| NPI | 1316093446 |
|---|---|
| Provider Name | Russell D Bradford |
| First Address | Salt Lake City, UT 84127-0128 |
| Second Address | Provo, UT 84604-3380 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/01/2007 |
| Last Update Date | 08/06/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 009912727 | (05) | AL |
| 009919575 | (05) | AL |
| 009919585 | (05) | AL |
| 051545309 | BCBS (01) | AL |
| H84141 | (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.