Provider Demographics
NPI:1902827553
Name:DRAPER, BRADLEY K (MD)
Entity Type:Individual
Prefix:MR
First Name:BRADLEY
Middle Name:K
Last Name:DRAPER
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:206 W COUNTY LINE RD
Mailing Address - Street 2:STE 340
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-2321
Mailing Address - Country:US
Mailing Address - Phone:303-350-4500
Mailing Address - Fax:303-350-4501
Practice Address - Street 1:206 W COUNTY LINE RD STE 240
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-2320
Practice Address - Country:US
Practice Address - Phone:303-888-6426
Practice Address - Fax:303-302-1659
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO44390207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G29283Medicare UPIN