Individual provider · Type 1 NPI

Bradley Chamberlin

Student in an Organized Health Care Education/Training Program · San Jose, CA

NPI number 1679144604 Active

Practice location

232 E Gish Rd
San Jose, CA 95112-4706

Mailing address

2305 Wayfarer Dr
Discovery Bay, CA 94505-9225

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 1679144604

Bradley Chamberlin's National Provider Identifier is 1679144604, issued on Jul 9, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Jose, CA. The record was last updated on Jul 23, 2026.