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Contact Information

BRADLEY S COLLETT, MD
911 BYPASS RD BLDG A
PIKEVILLE, KY41501-1689
 Phone: 606-218-3516
 Fax: 606-218-4540
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for BRADLEY S COLLETT · (Male)

NPI Number 1386648988
Status Active
Credentials MD
Entity Individual
Enumeration date 06/10/2005
Last updated 09/22/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01070211A
  • KY License # 38847
  • OH License # 35097980
  • IL Medicaid 036119025
  • IN Medicaid 201034390
  • KY Medicaid 64087869
  • OH Medicaid 0056084
  • Other 5732211 BLUE CROSS BLUE SHIELD GROUP ID
  • IL Other IL2288 MEDICARE GROUP PTAN
  • IL Other P00741224 RAILROAD MEDICARE
  • IL Other DP2506 RAILROAD MEDICARE GROUP PTAN
  • IN Other P00987175 MEDICARE RAILROAD
  • KY Other P00987179 MEDICARE RAILROAD
Hospital affiliation(s)
  • PIKEVILLE MEDICAL CENTER - (Acute Care)
    911 BYPASS ROAD
    PIKEVILLE, KY 41501
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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