Provider Information for 1356113328
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
ANDREW BRADLEY
Sex: Male
NPI: 1356113328
Last Updated: 2025-03-13
Certification Date: 2025-03-13
Certification Date: 2025-03-13
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1356113328 | ||||||||
| Enumeration Date | 2023-10-24 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1201 N MULDOON RD ANCHORAGE, AK 99504-6104 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 1201 N MULDOON RD ANCHORAGE, AK 99504-6104 United States Phone: 907-257-4854 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|