Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRADLEY A PONTANI, M.D.
ActiveBRADLEY A PONTANI, M.D. is a 207PE0005X healthcare provider located in JOPLIN, Missouri. NPI 1306800412 is currently active in the NPPES registry. Verify at CMS.
207PE0005X · JOPLIN, MO
Registration Details
- NPI Number
- 1306800412
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 14, 2006 (20.378673212506 yrs)
- Last Updated
- Jan 30, 2017
- Licenses
-
G5492 (TX)G5492 (TX)G5492 (TX)
Practice Information
- Address
-
1905 W 32ND STSUITE 103JOPLIN, MO, 648041529Browse MO providers · Browse ZIP 64804
- Phone
- 4175562185
- Primary Specialty
-
207PE0005X
207PE0005X
- Additional Specialty
- 207PE0005X
- Additional Specialty
- Adult Reconstructive Orthopaedic Surgery
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.