Healthcare Provider Details

I. General information

NPI: 1659572337
Provider Name (Legal Business Name): BRAD CRAIG KLEIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2007
Last Update Date: 01/18/2021
Certification Date: 01/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1151 OLD YORK RD STE 200
ABINGTON PA
19001-3816
US

IV. Provider business mailing address

1151 OLD YORK RD STE 200
ABINGTON PA
19001-3816
US

V. Phone/Fax

Practice location:
  • Phone: 215-957-9250
  • Fax: 215-957-9254
Mailing address:
  • Phone: 215-957-9250
  • Fax: 215-957-9254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0008X
TaxonomyNeuromuscular Medicine (Psychiatry & Neurology) Physician
License NumberMD427554
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code2084P2900X
TaxonomyPain Medicine (Psychiatry & Neurology) Physician
License NumberMD427554
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberMD427554
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: