Bradford Lee, MD, JD, MBA

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

10373 Issued in NV

Practice address

500 Edison Way
Reno, NV 89502-4104

Phone

(775) 858-5700

Fax

(775) 858-5731

NPI assigned

Feb 18, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Juris Doctor, Master of Business Administration, Doctor of Medicine

State licenses

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1205295276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 EDISON WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895024104",
            "telephone_number": "775-858-5700",
            "fax_number": "775-858-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 EDISON WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895024104",
            "telephone_number": "775-858-5700",
            "fax_number": "775-858-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "BRADFORD",
        "name_prefix": "Dr.",
        "credential": "MD, JD, MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-18",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "10373",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NV",
            "license": "10373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Ledezma, PAC
• Sally J Leduc, PT
• Tu-Chinh Linda Leduc, D.O.
• Carol Lee Kim, DMD
• Amanda Lee- Puchalski
• Candice Lee
• Du O Lee
• Helen Lee, O.D.
• Hyuni Lee, DDS
• Jae Jesse Lee, LADC

• Emergency Medical Services (Emergency Medicine) Physician in Reno, NV
• Providers in Reno, NV by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.