Bradley R Ertel MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

263500 Issued in NY

Legal business name

BRADLEY R ERTEL MD

Practice address

565 Abbott Rd
Buffalo, NY 14220-2039

Phone

(716) 826-7000

NPI assigned

May 23, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Bradley R. Ertel, M.D.

Title

Sole Owner

Phone

(716) 491-0271

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337731200000",
    "number": "1134489115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2469 KENSINGTON AVE",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142264928",
            "telephone_number": "716-491-0271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 ABBOTT RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142202039",
            "telephone_number": "716-826-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY R ERTEL MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-23",
        "last_updated": "2012-05-23",
        "status": "A",
        "authorized_official_last_name": "ERTEL",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "716-491-0271",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "263500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John A Brach, MD
• Tucsha Bradberry
• Kristina Bradfield-McGee, D.O
• Marisa Vallone Bradfield, MS, PA-C
• Shana Bradigan, ANP
• Genisha Bradley
• Laquisha Bradley
• Yvonne Chantae Bradley
• Alexandra Bradshaw
• Lisa M. Bradt, RD, CSR, CDN

• Physical Medicine & Rehabilitation Physician in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; 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.