| Bradford Perkins, Md, Inc | |
|
360 Dardanelli Ln Ste 2e Los Gatos CA 95032-1421 | |
| (408) 378-1101 | |
| (408) 378-1039 |
| Full Name | Bradford Perkins, Md, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 360 Dardanelli Ln Ste 2e, Los Gatos, California |
| Authorized Official Name and Position | Bradford Perkins (CEO) |
| Authorized Official Contact | 8184681625 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bradford Perkins, Md, Inc 360 Dardanelli Ln Ste 2e Los Gatos CA 95032-1421 Ph: (408) 378-1101 | Bradford Perkins, Md, Inc 360 Dardanelli Ln Ste 2e Los Gatos CA 95032-1421 Ph: (408) 378-1101 |
| NPI Number | 1700595220 |
|---|---|
| Provider Enumeration Date | 11/23/2022 |
| Last Update Date | 12/08/2022 |
| Medicare PECOS PAC ID | 3577922525 |
|---|---|
| Medicare Enrollment ID | O20230708000274 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700595220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Bradford Perkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063636868 PECOS PAC ID: 6305938143 Enrollment ID: I20230708000273 |
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