NPI 1073579322 · live from the CMS NPI Registry
Stanley Bradley, MD
Family Medicine, Hospice and Palliative Medicine in Fayetteville, AR. National Provider Identifier 1073579322, active.
NPI record
| NPI | 1073579322 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine, Hospice and Palliative Medicine 207QH0002X |
| Practice location | 325 E Longview Street, Fayetteville, AR 72703 |
| Practice phone | 479-463-7385 |
| Enumerated | April 25, 2006 |
| Last updated | May 3, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | C-5957 (AR) |
| Family Medicine, Hospice and Palliative Medicine primary | 207QH0002X | C-5957 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.