MEDICARE: BRADLEY N HAAS MD

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	207L00000X	Anesthesiology Physician	35956	CO
2	207L00000X	Anesthesiology Physician	ME158988	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467439653
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRADLEY N HAAS MD

Provider Business Mailing Address
First Line	:	4567 MERGANSER CT
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34119-7970
Country	:	US
Telephone Number	:	720-480-5710
Fax Number	:

Provider Business Practice Location Address
First Line	:	4567 MERGANSER CT
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34119-7970
Country	:	US
Telephone Number	:	720-480-5710
Fax Number	:

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

Provider Enumeration Date	:	12/28/2005
Last Update Date	:	06/10/2024

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Directions to “ BRADLEY N HAAS MD” Practice Location

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