Provider Demographics
NPI:1326080458
Name:ROPP, BRADLEY F (MD)
Entity Type:Individual
Prefix:DR
First Name:BRADLEY
Middle Name:F
Last Name:ROPP
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1540 LAKE LANSING RD
Mailing Address - Street 2:STE 201
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48912-3707
Mailing Address - Country:US
Mailing Address - Phone:517-913-3900
Mailing Address - Fax:517-913-3901
Practice Address - Street 1:1540 LAKE LANSING RD
Practice Address - Street 2:STE 201
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912-3707
Practice Address - Country:US
Practice Address - Phone:517-913-3900
Practice Address - Fax:517-913-3901
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2009-10-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301061764207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1002739OtherMCLAREN HEALTH PLAN-MEDICAID
MI1103305951OtherBCBS/BCN
MI4217025Medicaid
MI7742125OtherAETNA
MI1002739OtherMCLAREN HEALTH PLAN-COMMERCIAL
MI4848042Medicaid
MI1002739OtherMCLAREN HEALTH ADVANTAGE
MI0M21440019OtherMEDICARE ADVANTAGE
MI110205676OtherRAILROAD MEDICARE
MI200000002630OtherPHP
MI200000002630OtherPHP FAMILYCARE
MI200000002630OtherPHP
MI110205676OtherRAILROAD MEDICARE