Bradley Barber

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Scottsdale, AZ

NPI 1194299875 · NPPES record last updated Jan 16, 2019

Key facts

NPI
1194299875
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
7521 E McKnight Ave
Scottsdale, AZ 85251-4524
Phone
(480) 414-0582
NPI assigned
Jan 16, 2019
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes
Athletic Trainer 2255A2300X

Addresses

Primary practice location

7521 E McKnight Ave
Scottsdale, AZ 85251-4524

Mailing address

7521 E McKnight Ave
Scottsdale, AZ 85251-4524
Phone (480) 414-0582

Other providers in Scottsdale, AZ

All providers in Scottsdale, AZ · Student in an Organized Health Care Education/Training Program in Arizona

Sources for this page

Verify at the official NPI Registry.