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NPI Code Detail

MEDICARE: BRADLEY BARNHILL MD

MEDICARE: BRADLEY BARNHILL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist PhysicianA49456CA
2207R00000XInternal Medicine PhysicianA49456CA

General Provider Information

NPI Number : 1326020983
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRADLEY BARNHILL MD
Provider Business Mailing Address
First Line : PO BOX 45680
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94145-0680
Country : US
Telephone Number : 530-626-2920
Fax Number : 530-672-7016
Provider Business Practice Location Address
First Line : 1100 MARSHALL WAY
Second Line :
City : PLACERVILLE
State : CA
Zip : 95667-6533
Country : US
Telephone Number : 530-626-2920
Fax Number : 530-672-7016
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2005
Last Update Date : 05/09/2016

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