Individual provider · Type 1 NPI

Brian Michael Bradley I

Student in an Organized Health Care Education/Training Program · Marlborough, MA

NPI number 1104474147 Active

Practice location

340 Maple St
Marlborough, MA 01752-3200

Call (508) 259-3835 Map

Mailing address

266 Sudbury St
Marlborough, MA 01752-1760

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104474147

Brian Michael Bradley I's National Provider Identifier is 1104474147, issued on Sep 3, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Marlborough, MA. The record was last updated on Sep 3, 2019.