Provider Demographics
NPI:1952345571
Name:BRADFIELD, ROBERT STEVEN (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:STEVEN
Last Name:BRADFIELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5948 W PARKER RD STE 100
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-7732
Mailing Address - Country:US
Mailing Address - Phone:972-378-4114
Mailing Address - Fax:972-473-7204
Practice Address - Street 1:5948 W PARKER RD STE 100
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-7732
Practice Address - Country:US
Practice Address - Phone:972-378-4114
Practice Address - Fax:972-473-7204
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01026506A2085R0001X
TXF88072085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX032786804Medicaid
TX32786802Medicaid
IN000000736281OtherANTHEM
IN100248290Medicaid
TX1437383908OtherNPI
TX1871594424OtherNPI
TX8R1402OtherBLUE CROSS OF TEXAS
TX1396836359OtherNPI
TX1477553477OtherNPI
TX8A4250Medicare PIN
D70830Medicare UPIN
TX00251TMedicare PIN
TX8R1402OtherBLUE CROSS OF TEXAS
TX032786804Medicaid
TX1437383908OtherNPI
TX1396836359OtherNPI
TX830008768Medicare PIN
TXOA3684Medicare PIN