Individual provider · Type 1 NPI
Stephen Peter Bradley, MD
Addiction Medicine (Family Medicine) Physician · Lakeport, CA
NPI number
1699746446
Active
Practice location
5375 Lakeshore Blvd
Lakeport, CA 95453-6123
Fax (707) 263-7781
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | C41489 (CA) |
| General Practice Physician | 208D00000X | C41489 (CA) |
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | C41489 (CA) |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
About NPI 1699746446
Stephen Peter Bradley, MD's National Provider Identifier is 1699746446, issued on Jan 30, 2006. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Lakeport, CA. The record was last updated on Sep 12, 2022.