Dr. Kevin Grant Bradley, M.D.
Radiology, Diagnostic Radiology in Pensacola, FL. Individual provider (NPI-1).
NPI number1093880486
StatusActive
Last updated in NPPESMay 8, 2024
Details
- NPI
- 1093880486
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kevin Grant Bradley
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 21, 2006
- Certification date
- May 8, 2024
- Last updated
- May 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | ME84523 | FL | Yes |
| 207P00000X | Emergency Medicine | ME84523 | FL | |
| 207P00000X | Emergency Medicine | 00027045 | AL | |
| 2085R0202X | Radiology, Diagnostic Radiology | DR.0065549 | CO | |
| 2085R0202X | Radiology, Diagnostic Radiology | 00027045 | AL |
Practice location
5149 N 9th AveSuite 120
Pensacola, FL 32504-8756
Phone 850-479-1805 · Fax 850-479-1829
Mailing address
Po Box 11982Pensacola, FL 32524-1982
Phone 850-479-1805 · Fax 850-479-1829
Other practice locations
1746 Cole Blvd Ste 150
Lakewood, CO 80401-3267
Lakewood, CO 80401-3267
Phone 303-914-8800
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