Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARK DANIEL BRAYFORD, D.O.
Active Sole ProprietorMR. MARK DANIEL BRAYFORD, D.O. is a Sports Medicine healthcare provider located in POTTSVILLE, Pennsylvania. NPI 1417155151 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · POTTSVILLE, PA
Registration Details
- NPI Number
- 1417155151
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 3, 2007 (19.120533395672 yrs)
- Last Updated
- Oct 15, 2014
- Licenses
-
OS013357 (PA)OS013357 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
48 TUNNEL RDSUITE 203POTTSVILLE, PA, 179013875Browse PA providers · Browse ZIP 17901
- Phone
- 5706244777
- Fax
- 5706244778
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Family Medicine
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.