Nicholas Coren Bradbury, M.D.
Radiology, Vascular & Interventional Radiology in Bismarck, ND. Individual provider (NPI-1).
NPI number1801110101
StatusActive
Last updated in NPPESAug 6, 2014
Details
- NPI
- 1801110101
- Entity type
- Individual (NPI-1)
- Name
- Nicholas Coren Bradbury
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 16, 2010
- Last updated
- Aug 6, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0204X | Radiology, Vascular & Interventional Radiology | 13303 | ND | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | MT193226 | PA | |
| 2085R0204X | Radiology, Vascular & Interventional Radiology | 8614430-1205 | UT |
Practice location
310 N 10th StBismarck, ND 58501-4516
Phone 701-530-7500 · Fax 701-530-7484
Mailing address
Po Box 2698Bismarck, ND 58502-2698
Phone 701-530-7500 · Fax 701-530-7484
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