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Contact Information

DEREK D BRADLEY, M.D.
5955 ZEAMER AVE
JOINT BASE ELMENDORF-RICHARDSON, AK99506-3702
 Phone: 907-580-7246
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for DEREK D BRADLEY · (Male)

NPI # 1306263728
Status Active
Credentials M.D.
Entity Individual
Enumeration date 03/24/2014
Last updated 04/21/2026 - About 1 months ago
Sole proprietor 1 Yes
Identifiers
  • AK License # 181765
Hospital affiliation(s) Not Available
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.

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