Alan Belmont Bradley, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

35042423 Issued in OH

Practice address

1220 E Elm St
Suite 204
Lima, OH 45804-2850

Phone

(419) 224-2632

Fax

(419) 222-2731

NPI assigned

Nov 15, 2005

Last updated

May 19, 2008By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alan B Bradley MD LLC

  • Obstetrics & Gynecology Physician
  • Lima, OH
  • NPI 1659543676
  Authorized official Same address or phone
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1801878046",
    "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": {
        "last_name": "BRADLEY",
        "first_name": "ALAN",
        "middle_name": "BELMONT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35042423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0492864",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tina L Boyd
• Myrtle Boykin-Lighton
• Lashawnda Boykin, CDCA
• Austin Bracy, DO
• Cedric E. Bradford, CDCA
• Elisa K Bradley
• Lisa Mary Brady, PHARMD
• Keithen Michael Branch, PHARMD
• Robert Brand, CRNA
• Kent Brandeberry, D.O.

• Obstetrics & Gynecology Physician in Lima, OH
• Providers in Lima, OH by specialty
• Obstetrics & Gynecology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.

Verify at the official NPI Registry.