Bradford Chiropractic Center Llc | |
401 Little Marvel Ct Pasadena MD 21122-3871 | |
(410) 570-3193 | |
Not Available |
Full Name | Bradford Chiropractic Center Llc |
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Speciality | Clinic/Center |
Location | 401 Little Marvel Ct, Pasadena, Maryland |
Authorized Official Name and Position | Herbert J Bradford (MANAGING MEMBER) |
Authorized Official Contact | 4107442040 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bradford Chiropractic Center Llc 401 Little Marvel Ct Pasadena MD 21122-3871 Ph: (410) 570-3193 | Bradford Chiropractic Center Llc 401 Little Marvel Ct Pasadena MD 21122-3871 Ph: (410) 570-3193 |
NPI Number | 1477691624 |
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Provider Enumeration Date | 02/01/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 8224048459 |
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Medicare Enrollment ID | O20060502000497 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477691624 | NPI | - | NPPES |
53490607 | Other | MD | BCBS PPO |
640073 | Other | MD | UNITED HEALTHCARE |
N0490001 | Other | MD | BCBS FEDERAL BLUE CHOIC |
1150334 | Other | MD | AETNA HMO |
5236136 | Other | MD | AETNA PPO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | 1460 (Maryland) | Primary |
Provider Name | Herbert J Bradford |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1447307178 PECOS PAC ID: 9032189824 Enrollment ID: I20040729000021 |
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