Healthcare Provider Details

I. General information

NPI: 1649493420
Provider Name (Legal Business Name): BRADLEY HAROLD HESS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY OF NEBRASKA 981150 NEBRASKA MEDICAL CENTER
OMAHA NE
68198-1150
US

IV. Provider business mailing address

3418 N 93RD AVE
OMAHA NE
68134-4649
US

V. Phone/Fax

Practice location:
  • Phone: 402-559-6802
  • Fax:
Mailing address:
  • Phone: 402-505-8263
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: