Bradley Oliver
M.D. | Pediatrics | Male
Bradley Oliver, M.D. is a Peoria, Illinois based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Bradley Oliver is
530 Ne Glen Oak Ave, #5607 North Building, Peoria, Illinois - 61637-0001. He can be contacted on phone at
309-655-3863.
Bradley Oliver is a sole proprietor of his business.
NPI number (Unique professional ID) for Bradley Oliver is
1598170730 which was assigned by NPPES on 26 Jun, 2014 and it was last updated on 26 Jun, 2014.
Bradley Oliver license number is
125065833 for Pediatrics (208000000X) in Illinois.
Bradley Oliver is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Bradley Oliver basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization : | Pediatrics |
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Provider Name : | Bradley Oliver |
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Credential : | M.D. |
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Gender : | Male |
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Business Address:
Bradley Oliver address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address : | 530 Ne Glen Oak Ave, #5607 North Building Peoria, IL, 61637-0001 United States |
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Phone Number : | 309-655-3863 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : | 1598170730 |
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NPI Entity Type : | Individual |
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First Enrolment Date : | 26 Jun, 2014 |
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Last Updated On : | 26 Jun, 2014 |
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Medicare Participation:
Bradley Oliver participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
Medicare PECOS ID : | 9436470234 |
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Medicare Enrollment ID : | I20190516002533 |
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Primary Specialty : | Internal Medicine |
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Medical School : | University Of Illinois College Of Med (chi/peor/rock/chm-urb) |
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Graduation Year : | 2014 |
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Accepts Medicare? | Yes. Bradley Oliver accepts medicare insurance. |
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Group Practice Association:
Bradley Oliver is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Bradley Oliver is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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Heartland Community Health Clinic | 7416850318 | 28 | 2214 N University St Peoria, IL - 616043221 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bradley Oliver are as mentioned. Primary taxonomy code for Bradley Oliver, M.D. is
208000000X (Pediatrics).
Taxonomy Code | Speciality | Primary | License No. | State |
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207R00000X | Internal Medicine | No | 125065833 | IL |
208000000X | Pediatrics | Yes | 125065833 | IL |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address : | 530 Ne Glen Oak Ave, 5607 North Building Peoria, IL, 61637-0001 United States |
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Phone Number : | 309-655-3863 |
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Business Location:
Patients can refer following map for directions to
Bradley Oliver practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.