Provider Demographics
NPI:1598937195
Name:JAMES E BRADFIELD M D P A
Entity Type:Organization
Organization Name:JAMES E BRADFIELD M D P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:BRADFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:863-763-8000
Mailing Address - Street 1:1713 HWY 441 N
Mailing Address - Street 2:SUITE F
Mailing Address - City:OKEECHOBEE
Mailing Address - State:FL
Mailing Address - Zip Code:34972-1900
Mailing Address - Country:US
Mailing Address - Phone:863-763-8000
Mailing Address - Fax:863-763-8212
Practice Address - Street 1:1713 HWY 441 N
Practice Address - Street 2:SUITE F
Practice Address - City:OKEECHOBEE
Practice Address - State:FL
Practice Address - Zip Code:34972-1900
Practice Address - Country:US
Practice Address - Phone:863-763-8000
Practice Address - Fax:863-763-8212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-24
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty