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Contact Information

BRADLEY A PONTANI, MD
1905 W 32ND ST
SUITE 103
JOPLIN, MO64804-1529
 Phone: 417-556-2185
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

207PE0005X 93 Physician/Emergency Medicine
 

Specialist

174400000X
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BRADLEY A PONTANI · (Male)

NPI # 1306800412
Status Active
Credentials MD
Entity Individual
Enumeration date 04/14/2006
Last updated 01/30/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • TX License # G5492
  • TX Medicaid 1230393-03
Hospital affiliation(s)
  • MERCY HOSPITAL JOPLIN - (Acute Care)
    2817 ST JOHNS BLVD
    JOPLIN, MO 64804
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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