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NPI Code Detail

MEDICARE: MAHLON ARTHUR BRADLEY MD

MEDICARE:   MAHLON ARTHUR 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
1207X00000XOrthopaedic Surgery Physician260251NY
2207X00000XOrthopaedic Surgery Physician042.0012673VT
3207XX0005XSports Medicine (Orthopaedic Surgery) Physician57227MA
4207XX0005XSports Medicine (Orthopaedic Surgery) Physician042.0012673VT
5207X00000XOrthopaedic Surgery Physician19700NH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
7P00018882OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1J06476OTHERMABLUE CROSS BLUE SHIELD
20028303OTHERNEIGHBORHOOD HEALTH PLAN
30901140OTHERUNITED HEALTHCARE
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
539355OTHERFALLON COMMUNITY HEALTH
652663OTHERCIGNA
8057227OTHERTUFTS HEALTH PLAN
9171031OTHERHARVARD PILGRIM
102997952OTHERAETNA
11MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12522367186OTHERUNICARE

General Provider Information

NPI Number : 1801889761
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAHLON ARTHUR BRADLEY MD
Provider Business Mailing Address
First Line : PO BOX 547
Second Line : ATT: CVMC-FINANCE DEPT
City : BARRE
State : VT
Zip : 05641-0547
Country : US
Telephone Number : 802-225-3970
Fax Number : 802-225-1733
Provider Business Practice Location Address
First Line : 7 PAGE HILL RD
Second Line :
City : BERLIN
State : NH
Zip : 03570-3531
Country : US
Telephone Number : 603-752-2300
Fax Number : 603-752-1836
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2005
Last Update Date : 01/24/2020

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