Bradford Young Lee, MD

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

A 023458 Issued in CA

Practice address

56705 Mountain VW
La Quinta, CA 92253-8843

Phone

(760) 771-8918

Fax

(360) 437-1390

NPI assigned

Jun 5, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1285893149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56705 MOUNTAIN VW",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922538843",
            "telephone_number": "760-771-8918",
            "fax_number": "360-437-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56705 MOUNTAIN VW",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922538843",
            "telephone_number": "760-771-8918",
            "fax_number": "360-437-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "BRADFORD",
        "middle_name": "YOUNG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "A 023458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Hoag Lauer, D.D.S.
• Jessica Lazos, LMFT
• Kenneth Nhon Le, PHARM.D
• Roberto Leal Cabrera
• Lesley Renee Leal, MS CCC SLP
• Crizel Legaspi-Parto, DPT
• Tim Lekic, M.D., PH.D.
• Shelley Rhonda Lesley
• Let'S Communicate, Inc.
• Let'S Talk

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in La Quinta, CA
• Providers in La Quinta, CA by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.