NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

MICHELLE R BRADLEY, DO
4110 51ST AVE S
FARGO, ND58104-7776
 Phone: 701-364-3100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MICHELLE R BRADLEY · (Female)

NPI Number 1003015314
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/16/2007
Last updated 07/25/2017 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 52168
  • ND License # 14577
  • ND License # PT14577
  • MN Medicaid 036940100
Hospital affiliation(s)
  • ESSENTIA HEALTH-FARGO - (Acute Care)
    3000 32ND AVE SOUTH
    FARGO, ND 58104
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for MICHELLE R BRADLEY

Thanks - Your review has been submitted! Please note that if we find that this review has violated our terms or is simply deemed unacceptable, we will remove it without notice.

There are currently no reviews for MICHELLE R BRADLEY
Be the first to post a comment or review.


Read our reviews / comments about this provider to help you decide if they are right for you. Share your experience by posting a comment or review about this provider to help others decide which is right for them.

Nearby Doctors & Physicians
SREEJITH GOPI, MD
4110 51ST AVENUE SOUTH
FARGO, ND
STEVEN R JOHNSON, MD
1711 GOLD DRIVE SOUTH SUITE 160
FARGO, ND
TERRY L WOLFF, DO
2700 12TH AVE SW
FARGO, ND
MICHELLE M RADKE, MD
1711 GOLD DRIVE SOUTH SUITE 160
FARGO, ND
THERESE JOHNSON, MD
1711 GOLD DRIVE SOUTH SUITE 160
FARGO, ND
HOPE E MEYER, MD
801 BELSLY BOULEVARD
MOORHEAD, MN
KINSEY B NELSON, MD
301 NP AVENUE
FARGO, ND
ALLAN J LUISTRO, MD
1104 7TH AVE S.
MOORHEAD, MN
UNS K ALWAHAB
SANFORD HEALTH
FARGO, ND
DAVID A VOGT, DO
1412 MAIN ST
HAWLEY, MN

  View all Doctors & Physicians
v2.403