Provider Demographics
NPI:1750364303
Name:BRADLEY A FINK DO PC
Entity type:Organization
Organization Name:BRADLEY A FINK DO PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:A
Authorized Official - Last Name:FINK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:215-943-8900
Mailing Address - Street 1:1411 WOODBOURNE RD
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19057-1504
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:19057-1504
Practice Address - Country:US
Practice Address - Phone:215-943-8900
Practice Address - Fax:215-943-5002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-28
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
No207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic TraumaGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
3433568OtherAETNA
PA2140813000OtherPERSONAL CHOICE
DB4917OtherRAILROAD MEDICARE
001451359OtherBC/BS
3433568OtherAETNA
078422Medicare PIN