Provider Demographics
NPI:1265420939
Name:FINK, BRADLEY ALLAN (DO)
Entity type:Individual
Prefix:DR
First Name:BRADLEY
Middle Name:ALLAN
Last Name:FINK
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1411 WOODBOURNE RD
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19057
Mailing Address - Country:US
Mailing Address - Phone:215-943-8900
Mailing Address - Fax:215-943-5002
Practice Address - Street 1:1411 WOODBOURNE RD
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:PA
Practice Address - Zip Code:19057
Practice Address - Country:US
Practice Address - Phone:215-943-8900
Practice Address - Fax:215-943-5002
Is Sole Proprietor?:No
Enumeration Date:2005-10-07
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0S008193L207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA3Y5522OtherHEALTH NET
3433566OtherAETNA
P00219735OtherRAILROAD MEDICARE
1931335OtherUNITED HEALTHCARE
200037942OtherMEDICARE RR
0562246000OtherKEYSTONE
200551991OtherPHCS
NJ276073OtherBLUE CROSS PRODUCTS
5499042001OtherCIGNA
P2150959OtherOXFORD
PA276073OtherBLUE CROSS PRODUCTS
200037942OtherMEDICARE RR
PA276073OtherBLUE CROSS PRODUCTS
3433566OtherAETNA