HomeNPI Verification

NPI Verification

National Provider Identifier: 1679514285

Jon Edwin Bradbury, MD

Individual Provider

Credentials

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (2)

Family Medicine

Code: 207Q00000X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

929 CENTRAL AVE. NW

EAST GRAND FORKS, MN 56721

Phone: 218-773-6800

NPI Enumeration Date

June 8, 2006

NPI Number

1679514285

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