Provider Demographics
NPI:1245297456
Name:HARPER, BRADLEY NEAL (MD)
Entity type:Individual
Prefix:DR
First Name:BRADLEY
Middle Name:NEAL
Last Name:HARPER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:576 JEFFERSON AVENUE
Mailing Address - Street 2:MCDONALD ARMY HEALTH CENTER
Mailing Address - City:FT EUSTIS
Mailing Address - State:VA
Mailing Address - Zip Code:23604-5548
Mailing Address - Country:US
Mailing Address - Phone:757-878-1579
Mailing Address - Fax:757-878-0184
Practice Address - Street 1:576 JEFFERSON AVENUE
Practice Address - Street 2:MCDONALD ARMY HEALTH CENTER
Practice Address - City:FT EUSTIS
Practice Address - State:VA
Practice Address - Zip Code:23604-5548
Practice Address - Country:US
Practice Address - Phone:757-878-1579
Practice Address - Fax:757-878-0184
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2011-06-16
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Provider Licenses
StateLicense IDTaxonomies
MDD32772207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology