Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHEN PETER BRADLEY, MD
Active Sole ProprietorSTEPHEN PETER BRADLEY, MD is a Addiction Medicine (Family Practice) healthcare provider located in LAKEPORT, California. NPI 1699746446 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Family Practice) · LAKEPORT, CA
Registration Details
- NPI Number
- 1699746446
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 30, 2006 (20.570701356483 yrs)
- Last Updated
- Sep 12, 2022
- Licenses
-
C41489 (CA)C41489 (CA)C41489 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5375 LAKESHORE BLVDLAKEPORT, CA, 954536123Browse CA providers · Browse ZIP 95453
- Phone
- 7072635679
- Fax
- 7072637781
- Primary Specialty
-
Addiction Medicine (Family Practice)
207QA0401X
- Additional Specialty
- General Practice
- Additional Specialty
- Addiction Medicine (Family Practice)
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.