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Contact Information

WILLIAM B BRADFORD, MD
2114 N JACKSON ST
TULLAHOMA, TN37388-2208
 Phone: 931-454-9423
 Fax: 931-454-9690
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for WILLIAM B BRADFORD · (Male)

NPI # 1396748877
Status Active
Credentials MD
Entity Individual
Enumeration date 05/27/2005
Last updated 03/03/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • TN License # MD0000025802
  • TN Medicaid 3867811
  • TN Other 4019082 BLUE CROSS BLUE SHIELD
Hospital affiliation(s)
  • HARTON REGIONAL MEDICAL CENTER - (Acute Care)
    1801 N JACKSON ST BOX 460
    TULLAHOMA, TN 37388
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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