Russell D Bradford
M.D. | Pediatric Infectious Diseases | Male
Russell D Bradford, M.D. is a Provo, Utah based Pediatric doctor with medical specialization in
Pediatric Infectious Diseases.
Current practice location of Russell D Bradford is
1034 N 500 W, Provo, Utah - 84604-3380. He can be contacted on phone at
801-491-6482.
Russell D Bradford is a sole proprietor of his business.
NPI number (Unique professional ID) for Russell D Bradford is
1316093446 which was assigned by NPPES on 25 Jan, 2007 and it was last updated on 08 Jun, 2012.
Russell D Bradford license number is
23648 for Pediatrics Pediatric Infectious Diseases (2080P0208X) in Alabama.
Russell D Bradford is trained to take care of children in the diagnosis, treatment and prevention of infectious diseases. Infectious Diseases pediatrician can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.
Complete Profile:
Russell D Bradford basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Infectious Diseases |
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| Provider Name : | Russell D Bradford |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Russell D Bradford 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 : | 1034 N 500 W
Provo, UT, 84604-3380
United States |
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| Phone Number : | 801-491-6482 |
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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 : | 1316093446 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 25 Jan, 2007 |
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| Last Updated On : | 08 Jun, 2012 |
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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 Russell D Bradford are as mentioned. Primary taxonomy code for Russell D Bradford, M.D. is
2080P0208X (Pediatrics Pediatric Infectious Diseases).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0208X | Pediatrics Pediatric Infectious Diseases | Yes | 23648 | AL |
Legacy Identifiers:
Other legacy medical identifiers of Russell D Bradford such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 051545309 | Other | AL | BCBS |
| 009919585 | MEDICAID | AL | |
| 009912727 | MEDICAID | AL | |
| 009919575 | MEDICAID | AL | |
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 : | Po Box 27128
Salt Lake City, UT, 84127-0128
United States |
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| Phone Number : | 801-491-6482 |
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Business Location:
Patients can refer following map for directions to
Russell D Bradford practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.