Thomas P Bradley MD PHD Inc

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

G75220 Issued in CA

Legal business name

THOMAS P BRADLEY MD PHD INC

Practice address

24571 Silver Cloud CT
Suite 201
Monterey, CA 93940-6583

Phone

(831) 333-1719

Fax

(831) 333-0442

NPI assigned

Nov 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Patrick Bradley, MD, PHDNPI 1902979644

Title

President

Phone

(831) 333-1719

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Patrick Bradley, MD, PHD

  • Hematology & Oncology Physician
  • Monterey, CA
  • NPI 1902979644
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228867200000",
    "number": "1235382235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24571 SILVER CLOUD CT",
            "address_2": "SUITE 201",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939406583",
            "telephone_number": "831-333-1719",
            "fax_number": "831-333-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24571 SILVER CLOUD CT",
            "address_2": "SUITE 201",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939406583",
            "telephone_number": "831-333-1719",
            "fax_number": "831-333-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS P BRADLEY MD PHD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-12-10",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-333-1719",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G75220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hematology & Oncology Physician in Monterey, CA
• Providers in Monterey, CA by specialty
• Hematology & Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.