Healthcare Provider Details

I. General information

NPI: 1851920409
Provider Name (Legal Business Name): BRADLEY SACKFIELD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2020
Last Update Date: 06/04/2025
Certification Date: 06/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 HARTNELL AVE
REDDING CA
96002-1800
US

IV. Provider business mailing address

310 HARTNELL AVE
REDDING CA
96002-1800
US

V. Phone/Fax

Practice location:
  • Phone: 530-245-2900
  • Fax:
Mailing address:
  • Phone: 530-245-2900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number202515
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: