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Contact Information

EARL B BRADLEY, MD
1503 HIGHWAY ONE
LEWES, DE19958-9641
 Phone: 302-645-0222
 Fax: 302-645-0899
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for EARL B BRADLEY · (Male)

NPI # 1669414553
Status Active
Credentials MD
Entity Individual
Enumeration date 06/12/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • DE License # C1-1004285
  • DE Medicaid 0001097002
  • DE Other 0895293000 AMERIHEALTH
  • DE Other E96011 BCBS DE
  • DE Other 0001097002 DELAWARE PHYSICIANS CARE
  • DE Other 883092 MAMSI
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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