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General NPI Number Information
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NPI Number | 1700595220
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Entity Type | Organization
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Legal Business Name | BRADFORD PERKINS, MD, INC
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Dates
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Enumeration Date | 11/23/2022
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 15195 NATIONAL AVE STE 205
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City | LOS GATOS
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State | CA
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Zip | 95032-2631
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Country | US
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Telephone | 408-728-9800
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Fax |
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Provider Business Mailing Address
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Address Line | 15195 NATIONAL AVE STE 205
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City | LOS GATOS
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State | CA
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Zip | 95032-2631
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Country | US
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Telephone | 408-728-9800
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. BRADFORD PERKINS
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Credential | MD
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Telephone | 818-468-1625
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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