Mark F Bradbury MD PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD20477 Issued in OR

Legal business name

MARK F BRADBURY MD PC

Practice address

2604 Clover St
Klamath Falls, OR 97601-1132

Phone

(541) 274-2888

Fax

(541) 884-1628

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Mark F Bradbury, M.D.NPI 1053351221

Title

Owner

Phone

(541) 274-2888

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Mark F Bradbury, M.D.

  • Surgery Physician
  • Klamath Falls, OR
  • NPI 1053351221
  NPD (past) Authorized official

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1467485656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 CLOVER ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011132",
            "telephone_number": "541-274-2888",
            "fax_number": "541-884-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 CLOVER ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011132",
            "telephone_number": "541-274-2888",
            "fax_number": "541-884-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK F BRADBURY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "BRADBURY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-274-2888",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OR",
            "license": "MD20477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130277",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marc D Orlando MD PC
• Sara Jeanne Marchessault, PA-C, FNP-C
• Melanie Vade Marcott, QHMA
• Rachel Marie Margis
• Mark Davis, DDS PC
• Robin Yvonne Marostica, CRM2/CADC-R/QMHA-R
• Joseph Marquez
• Marquis Companies I Inc
• Marquis Companies II, Inc
• Ginger Marsh

• Surgery Physician in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; 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.