HomeNPI Verification

NPI Verification

National Provider Identifier: 1003015314

Michelle Renae Bradley, DO

Individual Provider

Credentials

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (3)

Family Medicine

Code: 207Q00000X

Family Medicine

Code: 207Q00000X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

4110 51ST AVE S

FARGO, ND 581047776

Phone: 701-364-3100

NPI Enumeration Date

July 16, 2007

NPI Number

1003015314

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry