MEDICARE: DR. BRADLEY NEAL HARPER M.D.

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
1	207ZP0101X	Anatomic Pathology Physician	D32772	MD

General Provider Information

NPI Number	:	1245297456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRADLEY NEAL HARPER M.D.

Provider Business Mailing Address
First Line	:	576 JEFFERSON AVENUE
Second Line	:	MCDONALD ARMY HEALTH CENTER
City	:	FT EUSTIS
State	:	VA
Zip	:	23604-5548
Country	:	US
Telephone Number	:	757-878-1579
Fax Number	:	757-878-0184

Provider Business Practice Location Address
First Line	:	576 JEFFERSON AVENUE
Second Line	:	MCDONALD ARMY HEALTH CENTER
City	:	FT EUSTIS
State	:	VA
Zip	:	23604-5548
Country	:	US
Telephone Number	:	757-878-1579
Fax Number	:	757-878-0184

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2006
Last Update Date	:	06/16/2011

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