Active NPI
Alan B Bradley MD LLC
- Obstetrics & Gynecology Physician
- Lima, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 35042423B
- Legal business name
- ALAN B BRADLEY MD LLC
- Practice address
- 1220 E Elm St
Suite 204
Lima, OH 45804-2850 - Phone
- (419) 224-2632
- Fax
- (419) 222-2731
- NPI assigned
- Mar 31, 2008
- Last updated
- Mar 31, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alan B Bradley, MD
- Title
- Owner
- Phone
- (419) 224-2632
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 35042423B | OH | Primary |
Addresses
Primary practice location
1220 E Elm St
Suite 204
Lima, OH 45804-2850
Mailing address
1220 E Elm St
Suite 204
Lima, OH 45804-2850
Phone (419) 224-2632
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0492864 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
1220 E Elm St
Ste 205
Lima, OH 45804
Phone (419) 224-1500
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Physician
- Lima, OH
- NPI 1801878046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206921600000",
"number": "1659543676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 E ELM ST",
"address_2": "SUITE 204",
"city": "LIMA",
"state": "OH",
"postal_code": "458042850",
"telephone_number": "419-224-2632",
"fax_number": "419-222-2731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 E ELM ST",
"address_2": "SUITE 204",
"city": "LIMA",
"state": "OH",
"postal_code": "458042850",
"telephone_number": "419-224-2632",
"fax_number": "419-222-2731"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALAN B BRADLEY MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-31",
"last_updated": "2008-03-31",
"status": "A",
"authorized_official_last_name": "BRADLEY",
"authorized_official_first_name": "ALAN",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "419-224-2632",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OH",
"license": "35042423B",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0492864",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.