Provider Demographics
NPI:1831281021
Name:RESS, BRADFORD DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:BRADFORD
Middle Name:DAVID
Last Name:RESS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7900 GLADES ROAD
Mailing Address - Street 2:SUITE 340
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33434
Mailing Address - Country:US
Mailing Address - Phone:561-353-7377
Mailing Address - Fax:786-237-2234
Practice Address - Street 1:7900 GLADES ROAD
Practice Address - Street 2:SUITE 340
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33434
Practice Address - Country:US
Practice Address - Phone:561-353-7377
Practice Address - Fax:786-237-2234
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2023-11-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME0067787207YX0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & Neurotology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG63759Medicare UPIN
FL47252Medicare PIN