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Contact Information

MARK B BRADLEY, DPM
1602 W 26TH ST
SIOUX FALLS, SD57105-2610
 Phone: 605-695-0599
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

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

NPI # 1396793931
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 05/05/2006
Last updated 10/08/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • SD License # 119
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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