| James D. D. Bradley, Ph.d., Pa | |
|
21110 Biscayne Blvd Suite 304 Aventura FL 33180-1227 | |
| (305) 932-5500 | |
| (305) 935-0466 |
| Full Name | James D. D. Bradley, Ph.d., Pa |
|---|---|
| Speciality | Psychologist |
| Location | 21110 Biscayne Blvd, Aventura, Florida |
| Authorized Official Name and Position | James D Bradley (OWNER) |
| Authorized Official Contact | 3059325500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James D. D. Bradley, Ph.d., Pa 21110 Biscayne Blvd Suite 304 Aventura FL 33180-1227 Ph: (305) 932-5500 | James D. D. Bradley, Ph.d., Pa 21110 Biscayne Blvd Suite 304 Aventura FL 33180-1227 Ph: (305) 932-5500 |
| NPI Number | 1821493388 |
|---|---|
| Provider Enumeration Date | 10/27/2014 |
| Last Update Date | 11/12/2014 |
| Medicare PECOS PAC ID | 5294051702 |
|---|---|
| Medicare Enrollment ID | O20150227000904 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821493388 | NPI | - | NPPES |
| Provider Name | James D Bradley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518186501 PECOS PAC ID: 6507889003 Enrollment ID: I20060111000261 |
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