John Scott Bradley

M.D. | Pediatric Infectious Diseases | Male

---

Complete Profile:

John Scott Bradley basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Infectious Diseases
Provider Name :	John Scott Bradley
Credential :	M.D.
Gender :	Male

Business Address:

John Scott Bradley 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 :	3020 Childrens Way San Diego, CA, 92123-4223 United States
Phone Number :	858-966-7785
Fax Number :	858-966-8658

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 :	1740351592
NPI Entity Type :	Individual
First Enrolment Date :	13 Nov, 2006
Last Updated On :	03 Nov, 2011

Medicare Participation:

John Scott Bradley participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	2163527839
Medicare Enrollment ID :	I20071207000868
Primary Specialty :	Infectious Disease
Medical School :	University Of California, Davis School Of Medicine
Graduation Year :	1976
Accepts Medicare?	Yes. John Scott Bradley accepts medicare insurance.

Group Practice Association:

John Scott Bradley 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 John Scott Bradley 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
Rady Children's Hospital - San Diego	3971677493	120	3010 Children's Way Rady Children's Specialists San Diego, CA - 921234223 Ph: 8585761700	Yes
Rady Children's Hospital - San Diego	3971677493	120	3020 Childrens Way Mc 5069 Rady Children's Specialists San Diego, CA - 921234223 Ph: 8585761700	Yes
Rady Children's Hospital - San Diego	3971677493	120	3030 Childrens Way San Diego, CA - 921234223	Yes
Rady Children's Hospital - San Diego	3971677493	120	8110 Birmingham Way Bldg 28 Rady Children's Specialists San Diego, CA - 921234223 Ph: 8589664003	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 John Scott Bradley are as mentioned. Primary taxonomy code for John Scott Bradley, M.D. is 2080P0208X (Pediatrics Pediatric Infectious Diseases).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	G35234	CA
2080P0208X	Pediatrics Pediatric Infectious Diseases	Yes	G35234	CA

Legacy Identifiers:

Other legacy medical identifiers of John Scott Bradley such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
00G352340	MEDICAID	CA

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 :	3860 Calle Fortunada, Suite 210 San Diego, CA, 92123-4800 United States
Phone Number :	858-309-6303
Fax Number :	858-309-6301

Business Location:

Patients can refer following map for directions to John Scott Bradley practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.