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NPI Code Detail

MEDICARE: DR. BRADLEY PHILLIP INKROTT M.D.

MEDICARE: DR. BRADLEY PHILLIP INKROTT 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
1207XS0117XOrthopaedic Surgery of the Spine Physician35.126861OH

General Provider Information

NPI Number : 1902166036
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRADLEY PHILLIP INKROTT M.D.
Provider Business Mailing Address
First Line : 1 PARK WEST BLVD STE 330
Second Line :
City : AKRON
State : OH
Zip : 44320-4226
Country : US
Telephone Number : 330-835-5533
Fax Number :
Provider Business Practice Location Address
First Line : 1 PARK WEST BLVD STE 330
Second Line :
City : AKRON
State : OH
Zip : 44320-4226
Country : US
Telephone Number : 330-835-5533
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2012
Last Update Date : 03/08/2019

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