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WILLIAM W. BRADLEY, M.D., P.C.
NPI 1619298809
General Practice in Centralia, MO

Active since June 22, 2010
120 N ROLLINS ST, CENTRALIA, MO 65240(573) 682-2101(573) 682-2496 Get Directions Write a Review

NPPES record last updated: June 22, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About William W. Bradley, M.d., P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAM W. BRADLEY, M.D., P.C. (NPI 1619298809) is a healthcare organization registered as a general practice in Centralia, Missouri and active in the NPI registry since June 2010. The organization lists William W Bradley, President, as its authorized official.

NPPES Registry Identity

NPI1619298809
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameWILLIAM W. BRADLEY, M.D., P.C.
Location Address120 N ROLLINS STCentralia, MO 65240-1327
Mailing Address120 N Rollins StCentralia, MO 65240-1327 · (573) 682-2101 · Fax (573) 682-2496
Phone(573) 682-2101
Fax(573) 682-2496
Organization SubpartNo
Authorized OfficialWilliam W BradleyPresident · (573) 682-2101
Enumeration DateJune 22, 2010
✔ NPI 1619298809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
120 N ROLLINS ST, Centralia, MO 65240
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Other Identifiers 3

Medicaid200178903MO
Medicare PIN000004010MO
Medicare UPINA10941MO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William W. Bradley, M.D., P.C.'s NPI number?

The NPI number for William W. Bradley, M.D., P.C. is 1619298809. It was assigned to this organization in the NPPES registry on June 22, 2010.

Where is William W. Bradley, M.D., P.C. located?

William W. Bradley, M.D., P.C. is located at 120 N Rollins St, Centralia, MO 65240. The listed phone number is (573) 682-2101.

What is William W. Bradley, M.D., P.C.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for William W. Bradley, M.D., P.C. was last updated on June 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.