Provider Demographics
NPI:1790788909
Name:TROPE, BRADLEY W (MD)
Entity Type:Individual
Prefix:
First Name:BRADLEY
Middle Name:W
Last Name:TROPE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2721 DEL PRADO BLVD S
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-5781
Mailing Address - Country:US
Mailing Address - Phone:239-772-3636
Mailing Address - Fax:239-772-5073
Practice Address - Street 1:2721 DEL PRADO BLVD S
Practice Address - Street 2:SUITE 200
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-5781
Practice Address - Country:US
Practice Address - Phone:239-772-3636
Practice Address - Fax:239-772-5073
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0092678207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL298956OtherAVMED
FL2401462OtherGHI
FL273992500Medicaid
FL16996OtherBCBS
FL7827676OtherAETNA
FLP00229533Medicare ID - Type UnspecifiedRAILROAD MEDICARE
FLI32240Medicare UPIN
FL2401462OtherGHI