MEDICARE: BRADLEY JONATHAN REEVES 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	207X00000X	Orthopaedic Surgery Physician	W5527	TX

General Provider Information

NPI Number	:	1568875649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRADLEY JONATHAN REEVES MD

Provider Business Mailing Address
First Line	:	4700 SETON CENTER PKWY STE 115
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78759-5753
Country	:	US
Telephone Number	:	214-220-2468
Fax Number	:	469-232-9738

Provider Business Practice Location Address
First Line	:	9301 N CENTRAL EXPY STE 400&500
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-0806
Country	:	US
Telephone Number	:	214-220-2468
Fax Number	:	469-232-9738

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

Provider Enumeration Date	:	06/06/2014
Last Update Date	:	06/02/2026

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