Search › California › 207QA0401X
Stephen Bradley, MD
NPI 1699746446 · on the registry since 2006 · sole proprietor
Practice
- Address
- 5375 Lakeshore Blvd
Lakeport, CA 95453 - Phone
- (707) 263-5679
- Fax
- (707) 263-7781
Registry record
- Primary taxonomy
- 207QA0401X
207QA0401X
- Also registered as
- 208600000X
208D00000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-09-12
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