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NPI Code Detail

MEDICARE: DON BRADKE MD

MEDICARE:   DON  BRADKE  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
1146D00000XPersonal Emergency Response Attendant01051351IN
2207P00000XEmergency Medicine Physician01051351AIN
3207R00000XInternal Medicine PhysicianLL817FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000625951OTHERINBLUE CROSS BLUE SHIELD
2000000602173OTHERINBLUE SHIELD
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922016799
Entity Type Code : Individual
Provider Name (Legal Business Name) : DON BRADKE MD
Provider Business Mailing Address
First Line : 2355 STANFORD CT UNIT 701
Second Line :
City : NAPLES
State : FL
Zip : 34112-4813
Country : US
Telephone Number : 239-566-7425
Fax Number : 239-593-3430
Provider Business Practice Location Address
First Line : 2355 STANFORD CT UNIT 701
Second Line :
City : NAPLES
State : FL
Zip : 34112-4813
Country : US
Telephone Number : 239-566-7425
Fax Number : 239-593-3430
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2006
Last Update Date : 07/21/2022

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Directions to “ DON BRADKE MD” Practice Location

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