Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRADLEY COBB
Active Sole ProprietorBRADLEY COBB is a Family Medicine healthcare provider located in PEORIA, Illinois. NPI 1356907570 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PEORIA, IL
Registration Details
- NPI Number
- 1356907570
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 13, 2019 (7.211747534965 yrs)
- Last Updated
- Jul 26, 2021
- License
-
125.078853 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
815 MAIN ST STE CPEORIA, IL, 616021080Browse IL providers · Browse ZIP 61602
- Phone
- 3096724977
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID CARL GREGORY | M.D. | 1871599522 |
| SARAH R KOSCICA | MD | 1003814625 |
| DR. ROBERT ALLAN LIZER | D.O. | 1184624280 |
| DR. TIMOTHY M LAHOOD | M.D. | 1245223130 |
| DR. AARON TAYLOR BOYER | M.D. | 1104811058 |
| DR. JEFFREY K KETCHAM | MD | 1245229368 |
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.