Stephen Peter Bradley
Surgeon General Practice Physician Family Doctor - Addiction Medicine
5375 Lakeshore Blvd
Lakeport
, California 95453-6123
Stephen Peter Bradley
Surgeon General Practice Physician Family Doctor - Addiction Medicine
5375 Lakeshore Blvd
Lakeport
, California 95453-6123
(707) 263-7781
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About
Features
Specialties
- Family Doctor - Addiction Medicine
- Surgeon
- General Practice Physician
Languages spoken
- English
Location
First Address
- Stephen Peter Bradley
- 5375 Lakeshore Blvd
- Lakeport, CA
- Zip : 95453-6123
- Fax : (707) 263-7781
- Phone : (707) 263-5679
Second Address
- Stephen Peter Bradley
- 5375 Lakeshore Blvd
- Lakeport, CA
- Zip : 95453-6123
- Fax : (707) 263-7781
- Phone : (707) 263-5679
Reviews
FAQs
Where did Stephen Peter Bradley attend graduate school?
Where did Stephen Peter Bradley do his residency?
Where did Stephen Peter Bradley do his fellowship?
Is Stephen Peter Bradley board certified?
What type of doctor is Stephen Peter Bradley
In what state does Stephen Peter Bradley practice in?
Where is Stephen Peter Bradley ’s practice located?
What is Stephen Peter Bradley ’s gender?
Is Stephen Peter Bradley a sole practitioner?
Is Stephen Peter Bradley accepting new patients?
What languages does Stephen Peter Bradley speak?
Does Stephen Peter Bradley accept insurance?
Does Stephen Peter Bradley offers telemedicine?
What is Stephen Peter Bradley ’s professional license number?
What is Stephen Peter Bradley ’s NPI number?
Does Stephen Peter Bradley have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0401X | Family Doctor - Addiction Medicine | C41489 | CA |
| N | 208200000X | Surgeon | C414890 | CA |
| N | 208600000X | Surgeon | C414890 | CA |
| N | 208D00000X | General Practice Physician | C414890 | CA |
National Provider Identifier
| NPI | 1699746446 |
|---|---|
| Provider Name | Stephen Peter Bradley |
| First Address | Lakeport, CA 95453-6123 |
| Second Address | Lakeport, CA 95453-6123 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/01/2006 |
| Last Update Date | 05/11/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00C414890 | (05) | CA |
| D77180 | (02) | CA |
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.