Provider Demographics
NPI:1518952555
Name:BRADFORD, NORMAN F (MD)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:F
Last Name:BRADFORD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:785 5TH AVENUE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4232
Mailing Address - Country:US
Mailing Address - Phone:717-263-9555
Mailing Address - Fax:717-217-4217
Practice Address - Street 1:112 N. SEVENTH STREET
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201
Practice Address - Country:US
Practice Address - Phone:717-267-7164
Practice Address - Fax:717-267-7414
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-15
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD38813207L00000X
PAMD038978E207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA25-1716306OtherFIRST HEALTH
PA5969102OtherAETNA NON-HMO
PAMD038978EOtherMEDICAL LICENSE
PA25-1716306OtherINTERGROUP
PA273307OtherUNISON
PA120420418OtherDEPT OF LABOR
PA25-1716306OtherSOUTH CENTRAL
PA6906113OtherAETNA HMO
PAG920-0122/85XWCUOtherCAREFIRST
PA1717223OtherHIGHMARK BLUE SHIELD
PA25-1716306OtherMULTIPLAN/PHCS
PA1583301OtherGATEWAY
PA2183091OtherMAMSI
PA25-1716306OtherINFORMED
PA001522547 0006Medicaid
PAP00741672OtherRAILROAD MEDICARE
PA251716306OtherHEALTH NET
PA50085998OtherCAPITAL BLUECROSS
PA050514OtherGROUP MEDICARE #
PA25-1716306OtherDEVON
PAPEARLOtherHEALTH AMERICA
PAPEARLOtherHEALTH AMERICA
PAP00741672OtherRAILROAD MEDICARE
PA158267P1KMedicare PIN