Surgical Associates of Bradford

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD033525E Issued in PA

Legal business name

SURGICAL ASSOCIATES OF BRADFORD

Practice address

116 Interstate Pkwy
Suite 31
Bradford, PA 16701-1036

Phone

(814) 368-7125

Fax

(814) 368-9156

NPI assigned

Jun 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Nathaniel L Graham, M.D.

Title

President

Phone

(814) 368-7125

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1477591576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 INTERSTATE PKWY",
            "address_2": "SUITE 31",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167011036",
            "telephone_number": "814-368-7125",
            "fax_number": "814-368-9156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 INTERSTATE PKWY",
            "address_2": "SUITE 31",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167011036",
            "telephone_number": "814-368-7125",
            "fax_number": "814-368-9156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSOCIATES OF BRADFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-368-7125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD033525E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eugena Baziuk Stephan, DMD
• Jackson L Stewart, PSYCHOLOGIST
• Alaina Dorothy Strom, CF-SLP
• Erin Strotman, MA, NCC, LPC
• Martha Struchen-Dibble, RN, BC
• Sarah Swartz
• Waldemar Szczupak, MD
• Robert Tahara, MD
• Dustin Michael Taylor, PA-C
• The Guidance Center

• Surgery Physician in Bradford, PA
• Providers in Bradford, PA by specialty
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.