Provider Demographics
NPI:1205844131
Name:BOPP, BRADFORD LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:BRADFORD
Middle Name:LEE
Last Name:BOPP
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 772437
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48277-2437
Mailing Address - Country:US
Mailing Address - Phone:317-575-7304
Mailing Address - Fax:317-575-7333
Practice Address - Street 1:12188 A NORTH MERIDIAN STREET
Practice Address - Street 2:SUITE 250
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032
Practice Address - Country:US
Practice Address - Phone:317-571-1637
Practice Address - Fax:317-571-9483
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2022-12-14
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Provider Licenses
StateLicense IDTaxonomies
IN01047051A207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology