Active NPI
Edward T Bradbury MD a Professional Corporation
- Orthopaedic Surgery Physician
- Freedom, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- A23889
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Edward Bradbury, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 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 DirectoryLocations
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.
-
- Orthopaedic Surgery Physician
- Freedom, CA
- NPI 1417937228
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.