Bradley H Kline DO LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

25MB04326600 Issued in NJ

Legal business name

BRADLEY H KLINE DO LLC

Practice address

4105 US Highway 1
Suite One
Monmouth Junction, NJ 08852-2157

Phone

(732) 329-8585

Fax

(732) 329-5668

NPI assigned

Mar 5, 2010

Last updated

May 31, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brad Howard Kline, DO

Title

Owner

Phone

(732) 329-8585

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306800000000",
    "number": "1053634956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 US HIGHWAY 1",
            "address_2": "SUITE ONE",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088522157",
            "telephone_number": "732-329-8585",
            "fax_number": "732-329-5668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 US HIGHWAY 1",
            "address_2": "SUITE ONE",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088522157",
            "telephone_number": "732-329-8585",
            "fax_number": "732-329-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY H KLINE DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-05",
        "last_updated": "2011-05-31",
        "status": "A",
        "authorized_official_last_name": "KLINE",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-329-8585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NJ",
            "license": "25MB04326600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Monmouth Junction, NJ
• Providers in Monmouth Junction, NJ by specialty
• Health Service Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.