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Contact Information

LARRY A BRADLEY, PA-C
2800 10TH AVE N
BILLINGS, MT59101-0703
 Phone: 406-238-2500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

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

NPI # 1780194175
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/11/2017
Last updated 12/14/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MT License # MED-PAC-LIC-59882
Hospital affiliation(s)
  • BILLINGS CLINIC HOSPITAL - (Acute Care)
    2800 10TH AVE N
    BILLINGS, MT 59101
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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