Healthcare Provider Details

I. General information

NPI: 1144273814
Provider Name (Legal Business Name): BRADFORD REGIONAL MEDICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 03/27/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 INTERSTATE PKWY STE 32
BRADFORD PA
16701-1036
US

IV. Provider business mailing address

PO BOX 3007
WARREN PA
16365-1107
US

V. Phone/Fax

Practice location:
  • Phone: 143-681-0208
  • Fax: 814-368-1024
Mailing address:
  • Phone: 716-799-1462
  • Fax: 833-953-2016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: BRADLEY J CHAPMAN
Title or Position: PRESIDENT
Credential:
Phone: 716-375-6170