Bradley Wasserman, M.D., PLLC

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

246054 Issued in NY

Legal business name

BRADLEY WASSERMAN, M.D., PLLC

Practice address

630 1St Ave
Apt 20G
New York, NY 10016-3700

Phone

(718) 966-6869

Fax

(718) 989-6995

NPI assigned

Apr 22, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Bradley R Wasserman, MD

Title

Physican

Phone

(212) 750-1110

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398124800000",
    "number": "1851711410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 1ST AVE",
            "address_2": "APT 20G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163700",
            "telephone_number": "718-966-6869",
            "fax_number": "718-989-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 1ST AVE",
            "address_2": "APT 20G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163700",
            "telephone_number": "718-966-6869",
            "fax_number": "718-989-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY WASSERMAN, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-22",
        "last_updated": "2014-04-22",
        "status": "A",
        "authorized_official_last_name": "WASSERMAN",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICAN",
        "authorized_official_telephone_number": "212-750-1110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NY",
            "license": "246054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rojel Montane Bradford, MD
• Bradley a. Connor, MD, PLLC
• Bradley and Monson Physical Therapy LLP
• Bradley and Monson PT
• Bradley Arden Radwaner, M.D., P.C.
• Arlene Bradley-Lester, MSED.
• Alexandra Elizabeth Bradley
• Allison Bradley, MFT
• Amber N Bradley
• Briana Christen Bradley, MSN, CPNP-PC

• Sports Medicine (Orthopaedic Surgery) Physician in New York, NY
• Providers in New York, NY by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; 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.