Michael J Bradley, D.O.
Individual provider Active NPI Family Medicine Physician · Dover, DE
NPI 1528093119 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1528093119
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- C20002269 (DE)
- Practice address
- 1342 S Governors Ave
Dover, DE 19904-4804 - Phone
- (302) 346-2760
- Fax
- (302) 734-7758
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Interoperability endpoints
- michaelbradley@dfp.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C20002269 | DE | Yes |
Addresses
Primary practice location
1342 S Governors Ave
Dover, DE 19904-4804
Mailing address
1342 S Governors Ave
Dover, DE 19904-4804
Phone (302) 734-7796
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000042803 | Medicaid | DE |
Other providers in Dover, DE
- Heather R. Boyle
- Isaiah L Brack
- Bradford Family Physicians LLC
- Judith Alicia Bradford
- Shelby Louise Bradford
- Aditya Brahmbhatt
- Joshua Bramble
- Mykel Bramble
- Rachel Brandenburg
- Todd A Brandt
All providers in Dover, DE · Family Medicine Physician in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.