Bradley Michael Eddy

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

5502005773 Issued in MI

Practice address

134 Brady St
Allegan, MI 49010-1313

Phone

(269) 673-2479

NPI assigned

Dec 12, 2018

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1544572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544572800000",
    "number": "1679044986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 CROSS OAKS DR APT 3",
            "city": "PLAINWELL",
            "state": "MI",
            "postal_code": "490801943",
            "telephone_number": "269-370-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 BRADY ST",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490101313",
            "telephone_number": "269-673-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDY",
        "first_name": "BRADLEY",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-12",
        "last_updated": "2018-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "5502005773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Susan Dotson
• Susan E Doyle, MSW
• Dr. Luciano Giovannucci P.C. (Riverfront Chiropractic)
• Mirna Dusek
• John Eagle Jr., LMSW
• Marissa L Engelhardt, RDN
• Eric Richard Erickson, DDS
• Brandy Lynn Erlandson, BS, QMHP
• Evan a. Be, D.D.S., P.L.C.
• Elizabeth A Evans, LLMSW

• Physical Medicine & Rehabilitation Physician in Allegan, MI
• Providers in Allegan, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; 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.