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Contact Information

NICHOLAS BRADLEE DPM PC
1909 LIVERNOIS
TROY, MI48083
 Phone: 248-244-9565
 Fax: 248-244-8183
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for NICHOLAS BRADLEE DPM PC

NPI # 1497860464
LBN Legal business name NICHOLAS BRADLEE DPM PC
Authorized official NICHOLAS BRADLEE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/20/2006
Last updated 11/20/2012 - About 14 years ago
Identifiers
MI License # NB000558
Other 5635277 BLUE CROSS
Other 5635277 BLUE CROSS BLUE SHIELD
Other 8505050 BLUE CROSS BLUE SHIELD
Other 8505050 BLUE SHIELD OF MICH
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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