Bradley Seely MD PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD17071 Issued in OR

Legal business name

BRADLEY SEELY MD PC

Practice address

341 NW Medical Loop Ste 120
Roseburg, OR 97471-5546

Phone

(541) 672-8288

NPI assigned

Jul 29, 2015

Organization subpart

No

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

Authorized official

Name

Bradley Seely, MD

Title

President

Phone

(541) 672-8288

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1922483130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 NW MEDICAL LOOP STE 120",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974715546",
            "telephone_number": "541-672-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 NW MEDICAL LOOP STE 120",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974715546",
            "telephone_number": "541-672-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY SEELY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "SEELY",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-672-8288",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD17071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inger C Boyd, MA ED., BS
• Brad E Robinson MD PC
• Braden Partners LP
• Melody Colleen Braden
• Shandon Bradford, RPH
• Arlene D Bradley, M.D.
• Mark Bradley
• Jessica L Brake, MS
• Tasha Renee Branch
• Lisa Brand

• Ophthalmology Physician in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Ophthalmology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.