What is Henry Bradley's NPI number?

The NPI number assigned to this healthcare provider is 1972585420, enumerated as a individual on November 18, 2005.

Where is the provider located?

The provider is located at 2323 N LAKE DR MILWAUKEE, WI 53211 and the phone number is (414) 291-1149.

What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

HENRY BRADLEY M.D. - NPI 1972585420 - Specialist in Milwaukee, WI

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About Henry Bradley M.d. NPPES

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

HENRY BRADLEY M.D. (NPI 1972585420) is an individual specialist in Milwaukee, Wisconsin, licensed in Wisconsin (20457) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1972585420

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameHENRY BRADLEYCredential: M.D.

Location Address2323 N LAKE DRMilwaukee, WI 53211-4508

Mailing Address500 W Brown Deer Rd, Suite 202Bayside, WI 53217-1618

Phone(414) 291-1149

Sole ProprietorNo

Enumeration DateNovember 18, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1972585420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in WI · 20457

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2323 N LAKE DR, Milwaukee, WI 53211

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