Provider Demographics
NPI:1184243271
Name:MONTANE, BRADFORD JAMES FELKER (MD)
Entity type:Individual
Prefix:DR
First Name:BRADFORD
Middle Name:JAMES FELKER
Last Name:MONTANE
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 S HARBOUR ISLAND BLVD APT 1611
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-5716
Mailing Address - Country:US
Mailing Address - Phone:813-841-5926
Mailing Address - Fax:
Practice Address - Street 1:203 AVALON AVE STE 100
Practice Address - Street 2:
Practice Address - City:MUSCLE SHOALS
Practice Address - State:AL
Practice Address - Zip Code:35661-2869
Practice Address - Country:US
Practice Address - Phone:256-386-4940
Practice Address - Fax:256-386-4944
Is Sole Proprietor?:No
Enumeration Date:2020-04-09
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL157812207R00000X
390200000X
AL485682084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program