Edward T Bradbury MD a Professional Corporation

Organization Active NPI Orthopaedic Surgery Physician · Freedom, CA

NPI 1144255753 · NPPES record last updated Mar 16, 2016

Key facts

NPI
1144255753
Entity type
Organization (NPI type 2)
Primary specialty
Orthopaedic Surgery Physician 207X00000X
License
A23889 (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
Organization subpart
No

Authorized official

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

National Provider Directory

Locations

150 Carnation Dr
Ste 2
Freedom, CA 95019
Phone (831) 722-8123

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207X00000X A23889 CA Yes

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

Other providers in Freedom, CA

All providers in Freedom, CA · Orthopaedic Surgery Physician in California

Sources for this page

Verify at the official NPI Registry.