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Contact Information

BRADLEY D RILEY, MD
100 MICHIGAN ST NE
GRAND RAPIDS, MI49503-2560
 Phone: 616-391-1680
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Toxicology

207PT0002X 93 Physician/Emergency Medicine
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Emergency Medical Services

207PE0004X 93 Physician/Emergency Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

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

NPI # 1912988023
Status Active
Credentials MD
Entity Individual
Enumeration date 11/07/2005
Last updated 02/20/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301078635
  • MI Medicaid 1912988023
  • MI Other P00347385 RAILROAD MEDICARE
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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