Search › California › 363A00000X
Boden Bradley, PA-C
NPI 1699229112 · on the registry since 2016
Practice
- Address
- 3005 Douglas Blvd Ste 105
Roseville, CA 95661 - Phone
- (916) 742-7718
- Fax
- (510) 350-9190
- Clinicians at this address
- 3
Additional practice sites
- 2920 N Green Valley Pkwy Ste 814, Henderson, NV
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-06-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California