Healthcare Provider Details

I. General information

NPI: 1942269303
Provider Name (Legal Business Name): BRADLEY HEPPNER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2006
Last Update Date: 04/08/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 DELAFIELD RD SUITE 3010
PITTSBURGH PA
15215-3205
US

IV. Provider business mailing address

200 LOTHROP STREET UPMC PHYSICIAN SERVICES SUITE 3010
PITTSBURGH PA
15213
US

V. Phone/Fax

Practice location:
  • Phone: 412-781-4860
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD046352L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: