Provider Demographics
NPI:1740221050
Name:GURNEY, BRAD (DO)
Entity Type:Individual
Prefix:DR
First Name:BRAD
Middle Name:
Last Name:GURNEY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:DR
Other - First Name:BRAD
Other - Middle Name:
Other - Last Name:GURNEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:317 N GASTON AVE
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-1714
Mailing Address - Country:US
Mailing Address - Phone:386-292-1430
Mailing Address - Fax:
Practice Address - Street 1:615 DIVISION ST
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07201-2039
Practice Address - Country:US
Practice Address - Phone:908-289-5646
Practice Address - Fax:908-351-1099
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB066456207Q00000X, 2083X0100X
FLOS 8870207Q00000X
NJMB 066456207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine