Provider Demographics
NPI:1609821461
Name:OSWOOD, BRADLEY O (MD)
Entity Type:Individual
Prefix:DR
First Name:BRADLEY
Middle Name:O
Last Name:OSWOOD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3099 N CIVIC CENTER PLZ
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-6903
Mailing Address - Country:US
Mailing Address - Phone:480-945-3535
Mailing Address - Fax:480-994-8179
Practice Address - Street 1:3099 N CIVIC CENTER PLZ
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-6903
Practice Address - Country:US
Practice Address - Phone:480-945-3535
Practice Address - Fax:480-994-8179
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ19630207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1Z2019OtherHEALTHNET
AZ7038023OtherAETNA
AZ0679946OtherCIGNA
AZ060056146OtherRAILROAD MEDICARE
AZ2500436OtherUNITEDHEALTHCARE
AZAZ0846960OtherBCBS AZ
AZ060056146OtherRAILROAD MEDICARE
AZAZ0846960OtherBCBS AZ