Bradley Boman, DO
Dermatology in Glendale, AZ. Individual provider (NPI-1).
NPI number1861293243
StatusActive
Last updated in NPPESAug 26, 2026
Details
- NPI
- 1861293243
- Entity type
- Individual (NPI-1)
- Name
- Bradley Boman
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2025
- Certification date
- Aug 26, 2026
- Last updated
- Aug 26, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 012621 | AZ | Yes |
Practice location
11851 N 51st Ave Ste E130Glendale, AZ 85304-2843
Phone 623-299-9540
Mailing address
11851 N 51st Ave Ste E130Glendale, AZ 85304-2843
Other practice locations
9305 W Thomas Rd Ste 305
Phoenix, AZ 85037-3366
Phoenix, AZ 85037-3366
Phone 623-478-8000
10204 W Happy Valley Pkwy Ste 165
Peoria, AZ 85383-2880
Peoria, AZ 85383-2880
Phone 623-323-6777
4801 E Mcdowell Rd Ste 150
Phoenix, AZ 85008-7719
Phoenix, AZ 85008-7719
Phone 602-954-3919
4515 S Mcclintock Dr
Tempe, AZ 85282-7376
Tempe, AZ 85282-7376
Phone 602-559-5470
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