Healthcare Provider Details

I. General information

NPI: 1982195335
Provider Name (Legal Business Name): BRADLEY HAMPTON WHEELER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2018
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 S 3RD ST
MONTROSE CO
81401-4212
US

IV. Provider business mailing address

800 S 3RD ST
MONTROSE CO
81401-4212
US

V. Phone/Fax

Practice location:
  • Phone: 970-249-2211
  • Fax: 970-252-2619
Mailing address:
  • Phone: 970-240-7249
  • Fax: 970-252-2619

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberDR.0072468
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: