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Contact Information

BRADFORD ORTHOPAEDIC & SPORTS MEDICINE GROUP, PC
54 BOYLSTON ST
2ND FLOOR
BRADFORD, PA16701-2007
 Phone: 814-368-1020
 Fax: 814-368-1024
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BRADFORD ORTHOPAEDIC & SPORTS MEDICINE GROUP, PC

NPI Number 1679535041
LBN Legal business name BRADFORD ORTHOPAEDIC & SPORTS MEDICINE GROUP, PC
Authorized official SHABIR BHAYANI - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 04/03/2006
Last updated 08/29/2008 - About 18 years ago
Identifiers
PA Medicaid 0019092890005
NY Other CN8715 RAILROAD MEDICARE
PA Other CN8714 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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