Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHELLE RENAE BRADLEY, DO
ActiveFamily Medicine · FARGO, ND
Registration Details
- NPI Number
- 1003015314
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 16, 2007 (18.76424201011 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
52168 (MN)PT14577 (ND)14577 (ND)
Practice Information
- Address
-
4110 51ST AVE SFARGO, ND, 581047776Browse ND providers · Browse ZIP 58104
- Phone
- 7013643100
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in FARGO, ND
| Name | Credential | NPI |
|---|---|---|
| DR. HOADLEY HOWE HARRIS | M.D. | 1811991607 |
| DR. JOEL FLOYD SCHOCK IV | M.D. | 1790789576 |
| HANS E BJELLUM | MD | 1396736443 |
| AMIE C HAUGO | M.D. | 1609855873 |
| DOUGLAS M GRIFFIN | MD | 1700856911 |
| SONJA LIEN | MD | 1346215852 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.