Individual provider · Type 1 NPI

Mark Bradford, P.A.

Medical Physician Assistant · Timonium, MD

NPI number 1831137611 Active

Practice location

1 Texas Station Ct
Timonium, MD 21093-8286

Call (410) 683-2120 Map

Fax (410) 683-2130

Mailing address

2200 Kernan Dr, 1st Floor Orthopaedics Suite
Baltimore, MD 21207-6665

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XC0003213 (MD)
Medical Physician Assistant Primary 363AM0700XC0003213 (MD)
Surgical Physician Assistant 363AS0400XCOOO3213 (MD)

Medical Physician Assistant: Definition to come...

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About NPI 1831137611

Mark Bradford, P.A.'s National Provider Identifier is 1831137611, issued on Jun 3, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Timonium, MD. The record was last updated on Feb 17, 2015.