Search › California › 101YA0400X
Bradley Blackwell
NPI 1801785001 · on the registry since 2025 · sole proprietor
Practice
- Address
- 2403 Professional Center Dr
Santa Rosa, CA 95403 - Phone
- (707) 360-4552
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Sex
- Male
- Record last updated
- 2025-07-01
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