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NPI Code Detail

MEDICARE: DR. BRADLEY ALAN BALDWIN DO

MEDICARE: DR. BRADLEY ALAN BALDWIN DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician32142CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
229852OTHERBCBS

General Provider Information

NPI Number : 1154361046
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRADLEY ALAN BALDWIN DO
Provider Business Mailing Address
First Line : 2373 G RD STE 280
Second Line : SURGICAL ASSOCIATES
City : GRAND JUNCTION
State : CO
Zip : 81505-1006
Country : US
Telephone Number : 970-243-9340
Fax Number : 970-241-6894
Provider Business Practice Location Address
First Line : 2373 G RD STE 280
Second Line : SURGICAL ASSOCIATES
City : GRAND JUNCTION
State : CO
Zip : 81505-1006
Country : US
Telephone Number : 970-243-9340
Fax Number : 970-241-6894
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 04/24/2015

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Directions to “ DR. BRADLEY ALAN BALDWIN DO” Practice Location

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