MEDICARE: LYNDSEY MORGAN BRADLEY 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	207LP2900X	Pain Medicine (Anesthesiology) Physician	T2122	TX
2	207L00000X	Anesthesiology Physician	T2122	TX

General Provider Information

NPI Number	:	1578925913
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYNDSEY MORGAN BRADLEY MD

Provider Business Mailing Address
First Line	:	PO BOX 845347
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-5347
Country	:	US
Telephone Number	:	469-291-3369
Fax Number	:	214-645-0078

Provider Business Practice Location Address
First Line	:	5323 HARRY HINES BLVD STOP 7200
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75390-7419
Country	:	US
Telephone Number	:	214-648-6400
Fax Number	:	214-648-5461

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

Provider Enumeration Date	:	03/24/2016
Last Update Date	:	04/15/2025

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