Organization Active NPI

Edward T Bradbury MD a Professional Corporation

  • Orthopaedic Surgery Physician
  • Freedom, CA
National Provider Identifier
1144255753
Registry record updated Mar 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A23889 Issued in CA
Legal business name
EDWARD T BRADBURY MD A PROFESSIONAL CORPORATION
Practice address
150 Carnation Dr
Suite 2
Freedom, CA 95019-3132
Phone
(831) 722-8123
NPI assigned
Jul 11, 2006
Last updated
Mar 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2016

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

Authorized official

Name
Dr. Edward Bradbury, M.D.NPI 1417937228
Title
Owner
Phone
(831) 722-8123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X A23889 CA Primary

Addresses

Primary practice location

150 Carnation Dr
Suite 2
Freedom, CA 95019-3132

Mailing address

PO Box 1899
Freedom, CA 95019-1899
Phone (831) 722-8123

National Provider Directory

National Provider Directory

Locations

150 Carnation Dr
Ste 2
Freedom, CA 95019
Phone (408) 722-8123

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458086400000",
    "number": "1144255753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1899",
            "city": "FREEDOM",
            "state": "CA",
            "postal_code": "950191899",
            "telephone_number": "831-722-8123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CARNATION DR",
            "address_2": "SUITE 2",
            "city": "FREEDOM",
            "state": "CA",
            "postal_code": "950193132",
            "telephone_number": "831-722-8123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD T BRADBURY MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2016-03-16",
        "status": "A",
        "authorized_official_last_name": "BRADBURY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-722-8123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A23889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freedom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.