Provider Demographics
NPI:1093702391
Name:KLEINMAN, BRADFORD A (MD)
Entity Type:Individual
Prefix:DR
First Name:BRADFORD
Middle Name:A
Last Name:KLEINMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10750 COLUMBIA PIKE STE 700500
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-4402
Mailing Address - Country:US
Mailing Address - Phone:301-681-6772
Mailing Address - Fax:301-681-0346
Practice Address - Street 1:10750 COLUMBIA PIKE STE 700
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-4461
Practice Address - Country:US
Practice Address - Phone:301-681-6772
Practice Address - Fax:301-681-0346
Is Sole Proprietor?:No
Enumeration Date:2005-10-02
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0021317207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD0021317OtherMEDICAL LICENSE
MDD0021317OtherMEDICAL LICENSE