Healthcare Provider Details

I. General information

NPI: 1902979644
Provider Name (Legal Business Name): THOMAS PATRICK BRADLEY MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24571 SILVER CLOUD CT SUITE 201
MONTEREY CA
93940-6583
US

IV. Provider business mailing address

24571 SILVER CLOUD CT STE 201
MONTEREY CA
93940-6544
US

V. Phone/Fax

Practice location:
  • Phone: 831-333-1719
  • Fax: 831-333-0442
Mailing address:
  • Phone: 831-241-0920
  • Fax: 831-333-1012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberG075220
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: