Healthcare Provider Details

I. General information

NPI: 1487975975
Provider Name (Legal Business Name): BRADLEY ROBERT DRURY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2010
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7383 N STATE ROAD 7
PARKLAND FL
33073-4527
US

IV. Provider business mailing address

13555 KILTIE CT
DELRAY BEACH FL
33446-3624
US

V. Phone/Fax

Practice location:
  • Phone: 305-395-4411
  • Fax: 305-614-0530
Mailing address:
  • Phone: 502-418-0744
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberME140319
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License NumberME140319
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME140319
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License NumberME140319
License Number StateFL
# 5
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberME140319
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: